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A Spontaneous Thoracic Spinal Epidural Hematoma Causing Hemiplegia and presented with back pain

Bedia Gulen1, Tolga Turan Dundar2, Ertan Sonmez1, Guleser Akpinar3
1Department of Emergency Medicine,Bezmialem Vakif University Medical Faculty,Istanbul,Turkey
2Department of Neurosurgery,Bezmialem Vakif University Medical Faculty,Istanbul,Turkey
3Department of Emergency Medicine, Sisli Etfal Training and Research Hospital, Istanbul,Turkey

Spontaneous spinal epidural hematoma is an uncommon and emergency condition leading to spinal cord compression. Early diagnosis can be achieved by magnetic resonance imaging (MRI) or computerized tomography, but preferably MRI. Surgical decompression is urgent and could relieve neurologic deficits.
A 27-year-old man presented to the emergency department with back pain which began about 10 days before. While waiting for the results of biological markers for differential diagnosis right hemiplegia became evident. Epidural hematoma was captured by thoracic and lumber MRI at level T1 to T2. Hematoma evacuation and decompression laminectomy was performed immediately.

Keywords: Spinal, epidural hematoma, back pain, hypoesthesia, emergency.


Bedia Gulen, Tolga Turan Dundar, Ertan Sonmez, Guleser Akpinar. A Spontaneous Thoracic Spinal Epidural Hematoma Causing Hemiplegia and presented with back pain. . 0; 0: 0-0

Corresponding Author: Bedia Gulen, Türkiye


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