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Can spontaneous spinal epidural haematoma be managed safely without operation? A report of four cases. (Wessex Neurological Centre, Southampton, United Kingdom) Neurology 2000;69:816–819.
Author(s) -
Duffill J.,
Sparrow O. C.,
Millar J.,
Barker C. S.
Publication year - 2001
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1046/j.1533-2500.2001.01023-26.x
Subject(s) - medicine , presentation (obstetrics) , neurology , surgery , conservative management , anesthesia , conservative treatment , psychiatry
The presentation, investigation, and management of 4 patients with spontaneous spinal epidural haematoma is presented. In each case, the diagnosis was made by MRI. At the time of the diagnosis spontaneous recovery had started in each patient and; therefore, they were all treated conservatively. In each case follow up, MRI confirmed rapid reduction in the size of the haematoma and no underlying cause was demonstrated. The presentation, diagnosis, and rationale for treatment are discussed. Conservative treatment is safe in some cases of spinal epidural haematoma if early neurological recovery has started.