Abstract
A spontaneous spinal epidural hematoma without any identified etiology is a very rare entity. We report here a 44 years old woman admitted within our department for 04 days of severe back pain complicated rapidly of bilateral lower-limbs weakness and urinary retention. Neurological examination found a complete paraplegia (0/5 stergh), with incomplete sensory deficit below the T-10 level, bowel and bladder dysfunction, decreased deep and superficial reflex. MRI with different sequences showed a large epidural mass lesion with slightly high signal intensity on T1-weighted images and heterogeneous low signal intensity on T2-weighted images from T11 to L1 suggesting an epidural hematoma. She underwent an urgent total laminectomy from T11 to L1 following by a complete removal of a large dark and compact epidural hematoma compressing the spinal cord. Operatively, there’s no sign suggesting an AVM. Postoperative course was uneventful and she was discharged ten days after surgery with complete recovery.
Highlights
Spontaneous spinal epidural hematoma (SSEH) is a relatively rare disease estimated to 0.3% to 0.9% of spinal epidural space-occupying lesions [1]
SSEH usually presents with sudden onset of neck or back pain followed by symptoms and signs of rapidly evolving nerve root and spinal cord compression [2]
The authors describe a case of an 44 years old woman presented within our department with complete paraplegia revealing a compressive spinal epidural hematoma that was totally managed with good outcome four days after the initial presentation of her symptoms
Summary
Spontaneous spinal epidural hematoma (SSEH) is a relatively rare disease estimated to 0.3% to 0.9% of spinal epidural space-occupying lesions [1]. SSEH usually presents with sudden onset of neck or back pain followed by symptoms and signs of rapidly evolving nerve root and spinal cord compression [2]. Its management requires prompt diagnosis and urgent treatment to prevent serious permanent neurological damages; this is why. How to cite this paper: Coulibaly, O., Habibou, L., Régis, O.T., El Fatemi, N., Gana, R., Maaqili, R., Jiddane, M. and Bellakhdar, F. (2015) Spontaneous Spinal Epidural Hematoma Causing Paraplegia: A Case Report. The authors describe a case of an 44 years old woman presented within our department with complete paraplegia revealing a compressive spinal epidural hematoma that was totally managed with good outcome four days after the initial presentation of her symptoms
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