ISSN 2149-5807 | E-ISSN 2149-6048
Case Report
A Spontaneous Thoracic Spinal Epidural Hematoma Causing Hemiplegia and Back Pain
1 Department of Emergency Medicine, Bezmialem Vakif University School of Medicine, İstanbul, Turkey  
2 Department of Neurosurgery, Bezmialem Vakıf University School of Medicine, İstanbul, Turkey  
3 Clinic of Emergency Medicine, Şişli Etfal Training and Research Hospital, İstanbul, Turkey  
Eurasian J Emerg Med 2016; 15: 196-198
DOI: 10.5152/eajem.2016.87597
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Key Words: Spinal epidural hematoma, back pain, hypoesthesia
Abstract

Spontaneous spinal epidural hematoma (SEH) is an uncommon and emergency condition leading to spinal cord compression. Early diagnosis can be achieved by magnetic resonance imaging (MRI) or computed tomography, but preferably MRI. Surgical decompression is urgent and can relieve neurologic deficits. A 27-year-old man presented to the emergency department with back pain, which began approximately 10 days before. While waiting for the results of biological markers for differential diagnosis, right hemiplegia became evident. Epidural hematoma was revealed with thoracic and lumbar MRI at level T1-T2. Hematoma evacuation and decompression laminectomy was immediately performed.

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AVES | Copyright © 2016 Emergency Medicine Physicians Association of Turkey | Latest Update: 05.01.2017