Spontaneous Resolution of Spinal Epidural Hematoma

J Korean Neurol Assoc > Volume 18(4); 2000 > Article

Journal of the Korean Neurological Association 2000;18(4): 518-520.

자연 관해를 보인 척수 경막외 혈종

양현덕, 한범기 ·손일홍 ·이지용 ·문준식 ·이성수 ·김승민*

연세대학교 원주의과대학 신경과학교실,연세대학교 의과대학 신경과학교실*

Spontaneous Resolution of Spinal Epidural Hematoma

Hyun-Duk Yang, M.D., Bum-Ki Han, M.D., Il-Hong Son, M.D., Ji-Yong Lee, M.D., Joon-Shik Moon, M.D., Sung-Soo Lee, M.D., Seung-Min Kim, M.D.*

Department of Neurology, Wonju College of Medicine, College of Medicine, Yonsei University, Wonju, Korea Department of Neurology, College of Medicine, Yonsei University, Seoul, Korea*

Abstract

Spontaneous spinal epidural hematoma is an uncommon cause of acute non-traumatic myelopathy and usually requires surgical evacuation. The typical clinical presentation is that of sudden and severe neck or back pain followed by progressive motor, sensory, and sphincteric disturbances within minutes to hours. Although many cases are idio-pathic, common causes include anticoagulant therapy, coagulopathies, hypertension, and vascular malformations. Magnetic resonance imaging (MRI) has become the primary method for diagnosis and follow-up. Prompt neurosurgical treatment with decompressive laminectomy has been regarded as the general method for neurological recovery, although rare cases of spontaneous recovery have been reported. We report such a case of spontaneous cervical spinal epidural hematoma that showed complete spontaneous resolution. J Korean Neurol Assoc 18(4):518~520, 2000 Key Words : Spontaneous spinal epidural hematoma, MRI, Spontaneous resolution