| Spontaneous cervical epidural hematoma treated by the combination of surgical evacuation and steroid pulse therapy. | |
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MedLine Citation:
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PMID: 18310978 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 70-year-old man on antiplatelet therapy developed sudden severe back pain in his neck with numbness and weakness in his extremities. On admission, he presented with complete quadriplegia, hypoesthesia, and anuria. Magnetic resonance imaging (MRI) revealed cervical cord compression due to an epidural hematoma posterior to the spinal cord and intramedullary hyperintensity. Surgical evacuation was performed about 12 hours after the onset, but the recovery of neurological deficits was poor. After performing 2 additional administrations of steroid pulse therapy, the patient's motor dysfunction began to improve and spinal MRI showed a recovery as well. These observations suggest that steroid administration should be considered as a post-operative additional therapy for cases with severe neurological deficits even after surgery. |
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Authors:
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Nobuhiko Omori; Eiichi Takada; Hisashi Narai; Tomotaka Tanaka; Koji Abe; Yasuhiro Manabe |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-03-03 |
Journal Detail:
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Title: Internal medicine (Tokyo, Japan) Volume: 47 ISSN: 1349-7235 ISO Abbreviation: Intern. Med. Publication Date: 2008 |
Date Detail:
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Created Date: 2008-03-03 Completed Date: 2008-03-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9204241 Medline TA: Intern Med Country: Japan |
Other Details:
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Languages: eng Pagination: 437-40 Citation Subset: IM |
Affiliation:
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Department of Neurology, National Hospital Organization Okayama Medical Center. nobu-san@okayama3.hosp.go.jp |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anti-Inflammatory Agents / administration & dosage* Cervical Vertebrae Hematoma, Epidural, Spinal / drug therapy*, etiology, surgery Humans Magnetic Resonance Angiography Magnetic Resonance Imaging Male Methylprednisolone / administration & dosage* Neurosurgical Procedures Platelet Aggregation Inhibitors / adverse effects* Pulse Therapy, Drug |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents; 0/Platelet Aggregation Inhibitors; 83-43-2/Methylprednisolone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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