Spinal epidural hematoma: not always an obvious diagnosis.
Details
Serval ID
serval:BIB_CD3A43B97DEB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Spinal epidural hematoma: not always an obvious diagnosis.
Journal
European Journal of Emergency Medicine
ISSN
1473-5695 (Electronic)
ISSN-L
0969-9546
Publication state
Published
Issued date
04/2012
Peer-reviewed
Oui
Volume
19
Number
1
Pages
2-8
Language
english
Notes
Publication types: Case Reports ; Journal Article Publication Status: ppublish
Abstract
Spinal epidural hematoma (SEH) is a rare neurosurgical emergency. SEH is characterized by an archetypal clinical presentation including abrupt spinal pain followed more or less rapidly by various degrees of neurological deficit. The diagnosis of SEH, often based on a clinical presumption, represents a clinical challenge. Several reports have outlined missed or delayed diagnosis due to unusual and confusing onsets or unawareness of this diagnosis by physicians. Therefore, physicians should keep in mind the possibility of SEH in their differential diagnosis when confronted with patients complaining of sudden onset of acute spinal pain with or without neurological sign, because the impact of a delayed diagnosis can be disabling catastrophic neurological sequelae. We suggest that SEH is a dynamic disease, which occurs in patients with an abnormal vasculature structural degenerative change. The bleeding is probably of multifactorial origin incriminating veins as well as arteries. Therefore, we proposed a classification of SEH, according to the most probable etiology whatever the associated factors, in six groups: spontaneous, secondary, iatrogenic, traumatic, recurrent, and idiopathic SEH.
Keywords
Adult, Aged, Diagnosis, Differential, Female, Hematoma, Epidural, Spinal/classification, Hematoma, Epidural, Spinal/diagnosis, Humans, Magnetic Resonance Imaging, Male, Prognosis, Spinal Diseases/classification, Spinal Diseases/diagnosis
Pubmed
Web of science
Create date
17/11/2011 12:59
Last modification date
20/08/2019 15:47