Indian Journal of Critical Care Case Report

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VOLUME 3 , ISSUE 3 ( May-June, 2024 ) > List of Articles

CASE SERIES

Spinal Epidural Hematoma—The Great Mimicker: A Case Series

Vineeth C Karapparambil, Venugopalan Poovathumparambil, Abhiram A Kumar, Ahammed Shaheem Pilathodan, Deepak Rajan

Keywords : Aortic dissection, Compression, Spinal cord, Spinal epidural hematoma, Stroke

Citation Information : Karapparambil VC, Poovathumparambil V, Kumar AA, Pilathodan AS, Rajan D. Spinal Epidural Hematoma—The Great Mimicker: A Case Series. 2024; 3 (3):61-63.

DOI: 10.5005/jp-journals-11006-0106

License: CC BY-NC 4.0

Published Online: 03-05-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Spontaneous spinal epidural hematoma (SSEH) refers to the occurrence of spontaneous bleeding into the epidural space of the spinal cord without trauma or any iatrogenic procedures that result in compressive myelopathy. It is a rare condition that presents with acute onset neck pain or back pain with neurological symptoms. Clinical presentation will be variable, and the occurrence of neurological symptoms may be delayed depending on the level and extent of involvement of the bleed. So, this condition can mimic many other diagnoses, and unless diagnosed and managed promptly, the patient will have a poor outcome. In this case report, we describe three cases that had varying presentations and were initially misleading.


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  1. Gopalkrishnan CV, Dhakoji A, Nair S. Spontaneous cervical epidural hematoma of idiopathic etiology: case report and review of literature. J Spinal Cord Med 2012;35(2):113–117. DOI: 10.1179/2045772312Y.0000000001
  2. Holtås S, Heiling M, Lönntoft M. Spontaneous spinal epidural hematoma: findings at MR imaging and clinical correlation. Radiology 1996;199(2):409–413. DOI: 10.1148/radiology.199.2.8668786
  3. Tiryaki M, Basaran R, Aydin SO, et al. Spontaneous cervical epidural hematoma with hemiparesis mimicking cerebral stroke. Case Rep Emerg Med 2014;2014:210146. DOI: 10.1155/2014/210146
  4. Zuo B, Zhang Y, Zhang J, et al. Spontaneous spinal epidural hematoma: a case report. Case Rep Orthopedic Res 2018;1(1-3):27–34. DOI: 10.1159/000490067
  5. Thakkar K, Ajayan N, Hrishi AP, et al. A mysterious case of spontaneous cervical epidural hematoma and bilateral primary spontaneous pneumothorax caused by a rare etiology. Indian J Crit Care Med 2019;23(4):186–187. DOI: 10.5005/jp-journals-10071-23151
  6. Riaz S, Jiang H, Fox R, et al. Spontaneous spinal epidural hematoma causing brown-sequard syndrome: case report and review of the literature. J Emerg Med 2007;33(3):241–244. DOI: 10.1016/j.jemermed.2007.02.032
  7. Lo CC, Chen JY, Lo YK, et al. Spontaneous spinal epidural hematoma: a case report and review of the literatures. Acta Neurol Taiwan 2012;21(1):31–34.
  8. Fukui MB, Swarnkar AS, Williams RL. Acute spontaneous spinal epidural hematomas. Am J Neuroradiol 1999;20(7):1365–1372.
  9. Unnithan AKA. A brief review of literature of spontaneous spinal epidural hematoma in the context of an idiopathic spinal epidural hematoma. Egypt J Neurosurg 2019;34:21. DOI: 10.1186/s41984-019-0046-7
  10. Bhorkar NM, Dhansura TS, Tarawade UB, et al. Epidural hematoma: vigilance beyond guidelines. Indian J Crit Care Med 2018;22(7):555–557. DOI: 10.4103/ijccm.IJCCM_71_18
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