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2010•Einstein (São Paulo)Open access

Delayed traumatic spinal epidural hematoma with neurological deficits

Luciano Miller Reis Rodrigues, Felipe Galvão Abreu, Edison Noboru Fujiki, Carlo J. Milani

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Abstract

UNLABELLED: To describe the mechanism that causes spinal epidural hematoma with neurologic deficit and review the literature. We report a case of a 62-year-old man with post-traumatic epidural hematoma in the cervicothoracic spine, who developed progressive neurological deficit which eventually resulted in complete paralysis below T1. During surgical evacuation significant spine compression due to an organizing hematoma was observed. After surgery, the patient's motor function improved and there was a complete recovery of the neurologic deficit after a rehabilitation program. CONCLUSION: Epidural hematoma can happen after delayed traumatic event leading to a variable degree of neurologic damage.

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What this paper is about

UNLABELLED: To describe the mechanism that causes spinal epidural hematoma with neurologic deficit and review the literature. We report a case of a 62-year-old man with post-traumatic epidural hematoma in the cervicothoracic spine, who developed progressive neurological deficit which eventually resulted in complete paralysis below T1. During surgical evacuation significant spine compression due to an organizing hematoma was observed. After surgery, the patient's motor function improved and there was a complete recovery of the neurologic deficit after a rehabilitation program. CONCLUSION: Epidural hematoma can happen after delayed traumatic event leading to a variable degree of neurologic damage.

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Available abstract

UNLABELLED: To describe the mechanism that causes spinal epidural hematoma with neurologic deficit and review the literature. We report a case of a 62-year-old man with post-traumatic epidural hematoma in the cervicothoracic spine, who developed progressive neurological deficit which eventually resulted in complete paralysis below T1. During surgical evacuation significant spine compression due to an organizing hematoma was observed. After surgery, the patient's motor function improved and there was a complete recovery of the neurologic deficit after a rehabilitation program. CONCLUSION: Epidural hematoma can happen after delayed traumatic event leading to a variable degree of neurologic damage.

Key concepts: Epidural hematoma, Medicine, Neurological deficit, Paralysis, Hematoma, Surgery, Anesthesia, Spinal epidural hematoma

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