Spontaneous Spinal Hematoma Research Articles

Successful conservative management of spontaneous spinal extradural haematoma

A 69-year-old man developed severe neck and back pain with paraparesis which resolved within 2 h of onset. A CT myelogram demonstrated an extensive anterior extradural haematoma. This and several other cases from the literature suggest that patients with spontaneous spinal haematomas who rapidly recover from their neurological deficit do not require urgent surgical decompression.

Value of magnetic resonance imaging in spontaneous extradural spinal hematoma due to vascular malformation: Case report

A case of spinal cord compression due to spontaneous extradural spinal hematoma is reported. A spinal arteriovenous malformation was suspected on the basis of magnetic resonance imaging. Early surgical exploration allowed a complete neurological recovery. The vascular malformation was histopathologically confirmed. The role of magnetic resonance imaging in the evaluation of acute spinal cord compression syndromes is stressed.

Acute spinal intradural extramedullary hematoma

The authors present the case of a 60-year old man with a spontaneous spinal intradural hematoma in the thoracic and lumbar region, which was caused by anticoagulant therapy and led to a severe progressive transverse lesion. After substitution of coagulation factors, a small catheter was inserted into the subarachnoid space via a lumbar puncture. By alternating irrigation and suction removal of the blood clot, restoration of the cerebrospinal fluid passage was possible along with a marked improvement in the neurological deficits. At 8 months' follow-up, the patient had completely recovered from the severe paraparesis and bladder dysfunction.

Acute Spinal Intradural Extramedullary Hematoma: A Nonsurgical Approach for Spinal Cord Decompression

The authors present the case of a 60-year old man with a spontaneous spinal intradural hematoma in the thoracic and lumbar region, which was caused by anticoagulant therapy and led to a severe progressive transverse lesion. After substitution of coagulation factors, a small catheter was inserted into the subarachnoid space via a lumbar puncture. By alternating irrigation and suction removal of the blood clot, restoration of the cerebrospinal fluid passage was possible along with a marked improvement in the neurological deficits. At 8 months' follow-up, the patient had completely recovered from the severe paraparesis and bladder dysfunction.

Spinal Meningeal Hematoma, Warfarin Therapy, and Chiropractic Adjustment

To the editor.— Long-term anticoagulant therapy is used frequently for treatment and prevention of thrombosis and embolism. Spontaneous spinal hematoma is rare in the absence of trauma, vascular tumor, pregnancy, or anticoagulation therapy. 1-7 Jackson, 2 in 1869, described a spontaneous extradural hematoma in a 14-year-old boy. More recently, Strain 3 noted that out of 34 patients recorded in the medical literature in 1963, spinal hematoma occurred in six that had been receiving anticoagulant therapy. While extradural hematoma was found more frequently, Cloward 4 presented a case that included intradural and subarachnoid bleeding. Our case provides a warning to patients receiving anticoagulant therapy to abstain from manipulations of the spine. Report of Case.— A 54-year-old woman was admitted to the hospital for pain in the back. Five days earlier, she had visited a chiropractor because of recurrence of the pain in the lower part of the back which she had