Spontaneous spinal epidural hematoma causing paraplegia: resolution and recovery without surgical decompression

Neurosurgery. 1992 Jan;30(1):108-11. doi: 10.1227/00006123-199201000-00019.

Abstract

Spontaneous spinal epidural hematomas are well-recognized but rare entities. The standard treatment for these hematomas has been prompt surgical evacuation. The authors report a case of a 76-year-old man who precipitously became paraplegic secondary to a spontaneous spinal epidural hematoma and then experienced the complete resolution of his neurological deficit and the hematoma. We conclude that conservative (nonoperative) management of spontaneous spinal epidural hematomas may be appropriate in those instances in which there is early and sustained neurological recovery confirmed by radiological resolution of the lesion.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Hematoma, Epidural, Cranial / complications*
  • Hematoma, Epidural, Cranial / diagnostic imaging
  • Hematoma, Epidural, Cranial / physiopathology
  • Humans
  • Male
  • Myelography
  • Paraplegia / diagnostic imaging
  • Paraplegia / etiology*
  • Paraplegia / physiopathology
  • Remission, Spontaneous
  • Spinal Cord Diseases / complications*
  • Spinal Cord Diseases / diagnostic imaging
  • Spinal Cord Diseases / physiopathology
  • Tomography, X-Ray Computed