Spontaneous spinal epidural hematoma after abrupt sneezing with prompt recovery of severe paraparesis

Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F14%3A43908520" target="_blank" >RIV/00216208:11120/14:43908520 - isvavai.cz</a>
Alternative codes found
RIV/00064173:_____/14:#0000418
Result on the web
<a href="http://dx.doi.org/10.1016/j.ajem.2014.04.039" target="_blank" >http://dx.doi.org/10.1016/j.ajem.2014.04.039</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.ajem.2014.04.039" target="_blank" >10.1016/j.ajem.2014.04.039</a>

Result language
angličtina
Original language name
Spontaneous spinal epidural hematoma after abrupt sneezing with prompt recovery of severe paraparesis
Original language description
Spontaneous spinal epidural hematoma (SSEH) is a rare neurologic condition with threatening consequences when spinal cord compression is present. The diagnosis must be performed quickly using magnetic resonance imaging (MRI), which shows collection of blood in the epidural space. With spinal cord compression, there is an indication for urgent surgical decompression. Here, we present a 64-year-old woman who developed sudden thoracic and lower back pain accompanied by severe paraparesis and urinary retention after sneezing abruptly. An MRI revealed a posterior thoracic epidural hematoma extending from the T6 to T11 vertebral level with spinal cord compression. Decompression was recommended, but the patient refused surgery, while neurologically improvingwith time. Complete neurologic recovery was observed within 24 hours after SSEH onset. A conservative therapeutic approach with careful observation may therefore be considered as a treatment of choice in some cases where surgery is refuse
Czech name
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Czech description
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Type
J<sub>x</sub> - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)
CEP classification
FH - Neurology, neuro-surgery, nuero-sciences
OECD FORD branch
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Project
<a href="/en/project/NT13693" target="_blank" >NT13693: Morphological, histochemical and electrophysiological changes in the chest wall muscles in patients with idiopathic scoliosis and their potential role in the etiopathogenesis of the disease.</a><br>
Continuities
S - Specificky vyzkum na vysokych skolach<br>I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year
2014
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

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