Document Detail

Epidural hematoma of the lumbar spine: 18 surgically confirmed cases.
MedLine Citation:
PMID:  8475285     Owner:  NLM     Status:  MEDLINE    
The authors report 18 cases of surgically proved spontaneous epidural hematoma of the lumbar spine. The clinical findings in spontaneous epidural hematoma were identical to those in acute disk herniation. Underlying disk abnormalities were common; the majority of hematomas (14 of 18, 78%) were associated with small concomitant disk herniations or underlying annular tears. The magnetic resonance imaging and computed tomographic findings were similar to those in extruded/free-fragment disk herniation. The strong coincidence between epidural hematoma and underlying disk disruption (annular tear or herniation) leads the authors to postulate that spontaneous epidural hematoma results from tearing of fragile epidural veins lying adjacent to the displaced anulus or nucleus.
C R Gundry; K B Heithoff
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  187     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1993 May 
Date Detail:
Created Date:  1993-05-19     Completed Date:  1993-05-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  427-31     Citation Subset:  AIM; IM    
Center for Diagnostic Imaging, St Louis Park, MN 55416.
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MeSH Terms
Hematoma, Epidural, Cranial / diagnosis*,  radiography,  surgery
Lumbosacral Region
Magnetic Resonance Imaging
Middle Aged
Spinal Cord Diseases / diagnosis*,  radiography,  surgery
Tomography, X-Ray Computed

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