Browse > Article
http://dx.doi.org/10.3340/jkns.2010.47.5.381

Clinical Experience and Management of Cervico-Thoracic Epidural Hematoma  

Ahn, Sang-Soak (Department of Neurosurgery, College of Medicine, Dong-A University)
Song, Young-Jin (Department of Neurosurgery, College of Medicine, Dong-A University)
Publication Information
Journal of Korean Neurosurgical Society / v.47, no.5, 2010 , pp. 381-384 More about this Journal
Abstract
Spinal epidural hematoma (SEH) causing acute myelopathy is rare. The usual clinical presentation of a SEH is sudden severe neck or back pain that progresses toward paraparesis or quadriparesis, depending on the level of the lesion. Recent studies have shown that early decompressive surgery is very important for patient's recovery. We experienced five patients of cervico-thoracic epidural hematomas associated with neurologic deficits that were treated successfully with surgical intervention.
Keywords
Intraspinal; Epidural; Hematoma; Laminectomy;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
Times Cited By Web Of Science : 0  (Related Records In Web of Science)
Times Cited By SCOPUS : 1
연도 인용수 순위
1 Stoll A, Sanchez M : Epidural hematoma after epidural block : implications for its use in pain management. Surg Neurol 57 : 235-240, 2002   DOI   ScienceOn
2 Jeon JS, Cho SM, Cho YJ, Hong SK : Hemorrhage in the cisterna magna after acupuncture. J Korean Neurosurg Soc 36 : 412-414, 2004
3 Kato S, Seki H, Koshu K : Acute cervical spinal epidural hematoma with spontaneous resolution--case report. Neurol Med Chir (Tokyo) 34 : 23-26, 1994   DOI   ScienceOn
4 Kreppel D, Antoniadis G, Seeling W : Spinal hematoma : a literature survey with meta-analysis of 613 patients. Neurosurg Rev 26 : 1-49, 2003   DOI   ScienceOn
5 Kuker W, Thiex R, Friese S, Freudenstein D, Reinges MH, Ernemann U, et al. : Spinal subdural and epidural haematomas : diagnostic and therapeutic aspects in acute and subacute cases. Acta Neurochir (Wien) 142 : 777-785, 2000   DOI   ScienceOn
6 Lee JH, Lee JK, Seo BR, Moon SJ, Kim JH, Kim SH : Spinal cord injury produced by direct damage during cervical transforaminal epidural injection. Reg Anesth Pain Med 33 : 377-379, 2008   DOI
7 Lee JY, Nassr A, Ponnappan RK : Epidural hematoma causing paraplegia after a fluoroscopically guided cervical nerve-root injection. A case report. J Bone Joint Surg Am 89 : 2037-2039, 2007   DOI   ScienceOn
8 Ng WH, Lim CC, Ng PY, Tan KK : Spinal epidural haematoma : MRI-aided diagnosis. J Clin Neurosci 9 : 92-94, 2002   DOI   ScienceOn
9 Abbasi A, Malhotra G, Malanga G, Elovic EP, Kahn S : Complications of interlaminar cervical epidural steroid injections : a review of the literature. Spine (Phila Pa 1976) 32 : 2144-2151, 2007   DOI   ScienceOn
10 Baek BS, Hur JW, Kwon KY, Lee HK : Spontaneous spinal epidural hematoma. J Korean Neurosurg Soc 44 : 40-42, 2008   과학기술학회마을   DOI   ScienceOn
11 Benzon HT, Wong HY, Siddiqui T, Ondra S : Caution in performing epidural injections in patients on several antiplatelet drugs. Anesthesiology 91 : 1558-1559, 1999
12 Botwin KP, Castellanos R, Rao S, Hanna AF, Torres-Ramos FM, Gruber RD, et al. : Complications of fluoroscopically guided interlaminar cervical epidural injections. Arch Phys Med Rehabil 84 : 627- 633, 2003   DOI
13 Derby R, Lee SH, Kim BJ, Chen Y, Seo KS : Complications following cervical epidural steroid injections by expert interventionalists in 2003. Pain Physician 7 : 445-449, 2004
14 Hong WJ, Lee SG, Park CW, Kim WK, Yoo CJ, Park CW : Awareness for serious spinal complications predicted after acupuncture procedures for pain control. J Korean Neurosurg Soc 36 : 130-134, 2004