Open AccessSpinal Epidural Hematoma Presenting with Paraplegia: Two Different Etiologies and Treatment Approaches
Author(s) -
Çetin Kürşad Akpınar,
Hakan Doğru,
Kemal Balcı,
Levent Güngör
Publication year - 2017
Publication title -
türk beyin damar hastalıkları dergisi/türk beyin damar hastalıkları dergisi
Language(s) - English
Resource type - Journals
eISSN - 2146-9113
pISSN - 1301-1375
DOI - 10.5505/tbdhd.2017.16046
Subject(s) - spinal epidural hematoma , paraplegia , etiology , medicine , hematoma , epidural hematoma , surgery , spinal cord , pathology , psychiatry
Spontaneous and non-spontaneous epidural hematomas are among rarely seen emergency diseases which can cause permanent neurological deficits in the event of delays in diagnosis and treatment. They are findings of spinal cord compression that generally develop following a clinical, severe backache. While surgical treatment can be delayed in case of recovery of sudden neurological findings within hours, surgical treatment should be conducted as soon as possible in case of advancement of the findings within hours. Spinal epidural hematoma developed when Case 1 was receiving anticoagulant therapy while it developed in Case 2 when the case was not receiving any therapy. Case 1 recovered with conservative treatment and Case 2 recovered with surgical treatment. In this article, we presented spinal epidural hematoma cases with 2 different etiological causes in which we followed 2 different treatment approaches