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Conservative Treatment of Acute Spontaneous Spinal Epidural Hematoma

Published online by Cambridge University Press:  18 September 2015

Peter A. Pahapill  and
Stephen P. Lownie
Peter A. Pahapill
Affiliation:
Department of Clinical Neurological Sciences, University Campus, London Health Sciences Centre, University of Western Ontario, London
Stephen P. Lownie*
Affiliation:
Department of Clinical Neurological Sciences, University Campus, London Health Sciences Centre, University of Western Ontario, London
*
Department of Clinical Neurological Sciences, University Campus, London Health Sciences Centre, 339 Windermere Road, London, Ontario, N6A 5A5, Canada
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Abstract:

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Background:

In cases of acute spontaneous spinal epidural hematoma producing neurological deficits, emergency surgical evacuation is the standard treatment.

Methods:

Such a case is presented in which complete resolution of neurological deficits occurred without surgical intervention.

Results:

This is the fifth reported case of complete recovery in a patient managed conservatively. In most reports, significant and sustained neurological recovery had occurred within 12 hours of impairment of walking.

Conclusion:

In cases of acute spontaneous spinal epidural hematoma in which neurological deterioration is followed by early and sustained recovery, non-operative therapy may be considered.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 25 , Issue 2 , February 1998 , pp. 159 - 163
Copyright
Copyright © Canadian Neurological Sciences Federation 1998

References

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