| Spinal epidural hematoma after stretch exercise: a case report. | |
| | |
MedLine Citation:
|
PMID: 19683136 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Spinal epidural hematoma (SEH) is a rare but serious condition. Common causes of SEH include spinal fracture, spinal trauma, and invasive spinal procedures such as lumbar puncture, epidural anesthesia, or myelography. A few previous reports have suggested that SEH could be caused by minor triggers such as spinal manipulation therapy or spontaneously in rare cases. A 60-year-old man, immediately after stretch exercise, developed severe back cervicodynia and rapidly progressive weakness of left arm from SEH. He was treated by decompression laminectomy and evacuation of the hematoma. However, the upper extremity weakness did not completely resolve. The standard treatment remains timely surgical decompression and evacuation of the hematoma. Thus, early diagnosis and treatment can confer a significant prognostic advantage to patients with SEH. Based on the finding that SEH was caused by a mild mechanical trigger and neurologic deficits remained in this patient, this report highlights its diagnostic difficulty as well as the importance of rapid treatment. Emergency physicians should consider SEH among the differential diagnosis in patients with sudden-onset back pain with symptoms and signs of spinal cord compression. |
| | |
Authors:
|
Toshikazu Abe; Yasuhiro Nagamine; Shinichi Ishimatsu; Yasuharu Tokuda |
Related Documents
:
|
11794596 - Cervicomedullary junction compression caused by vertebral artery dolichoectasia and req... 19844616 - Thoracic myelopathy caused by ossification of the ligamentum flavum. 22476756 - Technical considerations in surgery for retroperitoneal sarcomas: position paper from e... 6726386 - Anterior cord decompression and spinal stabilization for patients with metastatic lesio... 19779126 - Custom-made reduction mammaplasty. 17503306 - Bladder augmentation and/or continent urinary diversion: 10-year experience. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: The American journal of emergency medicine Volume: 27 ISSN: 1532-8171 ISO Abbreviation: Am J Emerg Med Publication Date: 2009 Sep |
Date Detail:
|
Created Date: 2009-08-17 Completed Date: 2009-09-22 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
|
Languages: eng Pagination: 902.e1-2 Citation Subset: IM |
Affiliation:
|
Department of Emergency and Critical Care Medicine, St. Luke's International Hospital, Tokyo, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Disease Progression Hematoma, Epidural, Spinal / diagnosis, etiology*, surgery Humans Magnetic Resonance Imaging Male Middle Aged Muscle Stretching Exercises / adverse effects* Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Bilateral peroneal compartment syndrome after horse riding.
Next Document: Trastuzumab (Herceptin)-associated cardiomyopathy presented as new onset of complete left bundle-bra...