There was no focal neurologic sequelae and therapeutic heparin anticoagulation was reintroduced 10 days following onset of
epidural hematoma and 2 days postprocedure.
With regard to the long-term neurologic outcome, emergent surgical evacuation of the
epidural hematoma is considered, but high pressure in the spinal artery secondary to the CoA might interfere with the surgical decompression procedure.
Sample size of sixty eight patients calculated with 95% confidence interval and 10% margin of error, assuming 80% of patients with indwelling epidural cathetersand concomitant enoxaparin will be prevented from an
epidural hematoma. Patients were selected through a non-probability / consecutive sampling technique.
Anatomically, a reduction in the spinal canal space secondary to stenosis can increase the risk of compression of surrounding structures, and epidural fibrosis associated with spinal stenosis can cause bleeding.[5] In addition, an epidural scar in postspinal surgery syndrome is a possible etiology of
epidural hematoma. Furthermore, the fragility of epidural venous plexus is responsible for increasing bleeding tendency.
Distribution of radiologic CT findings in patients with head trauma, acute stroke and intracranial tumors Trauma--CT finding (N=1469) n % Skull fracture 339 23.07 Traumatic SAH 321 21.85 Traumatic intracerebral hematoma 70 4.76 Cerebral contusion/laceration 222 15.11
Epidural hematoma 68 4.63 Acute subdural hematoma 356 24.23 Chronic/mixed subdural hematoma 93 6.33 Acute stroke--CT finding (N=597) n % Acute ischemia 286 47.90 Subacute ischemia 66 11.06 Non-traumatic SAH 101 16.92 Intracerebral hematoma 144 24.12 Tumor - CT finding (N=212) n % Primary brain tumor 23 10.84 Meningioma 56 26.41 Metastasis 45 21.22 Unclassifed tumor 88 41.50 CT = computed tomography; SAH = subarachnoid hemorrhage
Spontaneous spinal
epidural hematoma: analysis of 23 cases.
We collected data for both operated and non-operated cases of traumatic posterior fossa
epidural hematoma, of any gender and age.
Magnetic resonance imaging (MRI) revealed an
epidural hematoma in the dorsal region of spinal canal from C6-T2 levels (heterogeneously hyperintense on T2 [Figure 1A and 1C] and homogenously isointense on T1 [Figure 1B and 1D]).
The radiologist had further documented that the fracture of C2 was a Dens fracture with minimal dorsal displacement, and the presence of an
epidural hematoma at C6-C7.
It concerns a unique case of a woman with Channelopathy-associated Insensitivity to Pain (CIP) Syndrome, who developed features of neuropathic pain after sustaining pelvic fractures and an
epidural hematoma that impinged on the right fifth lumbar (L5) nerve root.