Author/Authors :
Gundag, M Department of Neurosurgery - Bezmialem Vakif University, Istanbul , Seyithanoglu, MH Department of Neurosurgery - Bezmialem Vakif University, Istanbul , Kitis, S Department of Neurosurgery - Bezmialem Vakif University, Istanbul , Dogan, K of Neurosurgery - Ardahan State Hospital, Ardahan , Ozkan, N 3Department of Neurosurgery - Abant Izzet Baysal University, Bolu, Turkey
Abstract :
Symptomatic spontaneous spinal epidural hematoma(SSEH) is an uncommon cause of cord compression that
commonly is considered as an indication for emergent surgical decompression. We aimed to investigate a patient
with a SSEH that completely resolved clinically and radiographically, without surgical treatment. The patient
presented three days after the sudden onset of back pain, numbness, and weakness. Magnetic Resonance
Imaging (MRI) revealed a posterior thoracolumbar epidural hematoma extending from the level of T10 to L2 with
significant cord compression. Decompression was recommended but he refused surgery and was managed
conservatively. One month later, weakness totally recovered and hematoma was absent on MRI.
