Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Spontaneous Spinal Epidural Hematoma with Intraoperative Acute Massive Bleeding - Case Report -

수술중 급성 대량 출혈을 동반한 자발성 척추경막외혈종 - 증 례 보 고 -

  • Kim, Hyoung Jong (Department of Neurosurgery, Gyeongsang National University) ;
  • Hwang, Soo Hyun (Department of Neurosurgery, Gyeongsang National University) ;
  • Park, In Sung (Department of Neurosurgery, Gyeongsang National University) ;
  • Kim, Eun-Sang (Department of Neurosurgery, Gyeongsang National University) ;
  • Jung, Jin-Myung (Department of Neurosurgery, Gyeongsang National University) ;
  • Han, Jong Woo (Department of Neurosurgery, Gyeongsang National University)
  • 김형종 (경상대학교 의과대학 신경외과학교실) ;
  • 황수현 (경상대학교 의과대학 신경외과학교실) ;
  • 박인성 (경상대학교 의과대학 신경외과학교실) ;
  • 김은상 (경상대학교 의과대학 신경외과학교실) ;
  • 정진명 (경상대학교 의과대학 신경외과학교실) ;
  • 한종우 (경상대학교 의과대학 신경외과학교실)
  • Received : 1999.11.09
  • Accepted : 2000.03.06
  • Published : 2000.09.28
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Abstract

Spontaneous spinal epidural hematoma is rare disease and usually presents with a progressive neurological syndrome for which surgical decompression is usually indicated. The cause of bleeding in epidural hematoma remains unknown in most of the cases. The most frequently identified risk factor is coagulopathy or treatment with anticoagulants. Recently, authors experienced a case of spontaneous spinal epidural hematoma with intraoperative profuse bleeding at the cervicothoracic location. Laboratory examination showed no evidence of coagulopathy or hepatic disease. On neurologic examination, left hemiparesis(Grade : II) and left side sensory change were noted. On MRI scan, there was a mass of high signal intensity in T2WI and isosignal intensity in T1WI compressing the cord to left side. The patients had good surgical outcome after decompressive laminectomy and hematoma removal.

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