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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00064173:_____/14:#0000418

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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

Název v anglickém jazyce

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

Popis výsledku anglicky

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

Druh

J_x - Nezařazeno - Článek v odborném periodiku (Jimp, Jsc a Jost)

CEP obor

FH - Neurologie, neurochirurgie, neurovědy

OECD FORD obor

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Projekt

<a href="/cs/project/NT13693" target="_blank" >NT13693: Morfologické, histochemické a elektrofyziologické změny svalů hrudní stěny u pacientů s idiopatickou skoliózou a jejich potenciální role v etiopatogenezi onemocnění.</a><br>

Návaznosti

S - Specificky vyzkum na vysokych skolach<br>I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2014

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

American Journal of Emergency Medicine

ISSN

0735-6757

e-ISSN

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Svazek periodika

32

Číslo periodika v rámci svazku

12

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

3

Strana od-do

"1555.e3"-"1555.e5"

Kód UT WoS článku

000346353000040

EID výsledku v databázi Scopus

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