Title: Spontaneous Spinal Epidural Hematomas: Case Series with Review of Literature

Authors: Azher Maqbool Khan, Obaid Ashraf, Zubair Ahmad, Tahleel Altaf Shera, Ghulam Muhammad Wani, Naseer Ahmad Choh, Feroze Ahmad Shaheen, Tariq Gojwari, Irfan Robbani

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i7.234

Abstract

Spontaneous spinal epidural hematoma (EDH) is a relatively rare condition that requires urgent diagnosis and management. Such patients typically present with acute and severe back pain and spinal cord or caudaequina compression. Risk factors include coagulopathy, anticoagulation, vascular anomalies, inter vertebral disk herniation, Paget disease of bone, Valsalva maneuver and hypertension. Differential diagnosis includes an acute herniated inter vertebral disc, acute ischemia of the spinal cord, epidural tumor or abscess, spondylitis, transverse myelitis, or even a dissecting aortic aneurysm and acute myocardial infarction.An observational study was conducted in the Department of Radiodiagnosis, SKIMS Srinagar to study the clinical features, imaging features and treatment outcomes of spontaneous spinal epidural hematomas.This study shows that MR Imaging is a very sensitive and specific modality for diagnosis of spontaneous epidural hematomas. Also early management in the form of early decompressive laminectomy and hematoma evacuation is helpful in preventing permanent neuro deficit.

Keywords: Epidural hematoma, MRI, Spinal epidural space.

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Corresponding Author

Obaid Ashraf

Department of Radiology, SherIKashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir

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