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Conservative treatment of acute spontaneous spinal epidural hematoma. Can J Neurol Sci 1998 May;25(2):159-63

Date

05/30/1998

Pubmed ID

9604140

DOI

10.1017/s0317167100033795

Scopus ID

2-s2.0-0031836359 (requires institutional sign-in at Scopus site)   37 Citations

Abstract

BACKGROUND: In cases of acute spontaneous epidural hematoma producing neurological deficits, emergency surgical evacuation is the standard treatment.

METHODS: Such a case is presented in which complete resolution of neurological deficits occurred without surgical intervention.

RESULTS: This is the fifth reported case of complete recovery in a patient managed conservatively. In most reports, significant and sustained neurological recovery had occurred with 12 hours of impairment of walking.

CONCLUSION: In cases of acute spontaneous spiral epidural hematoma in which neurological deterioration is followed by early and sustained recovery, non-operative therapy may be considered.

Author List

Pahapill PA, Lownie SP

Author

Peter A. Pahapill MD, PhD Professor in the Neurosurgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Acute Disease
Adult
Hematoma, Epidural, Cranial
Humans
Laminectomy
Magnetic Resonance Imaging
Male
Spinal Cord
Spinal Cord Compression