Spontaneous spinal epidural hematoma presenting as Brown-Séquard syndrome

Spontaneous spinal epidural hematoma (SEH) is a rare disease. Furthermore, Brown-Séquard syndrome due to spontaneous SEH has been rarely reported. Early detection of spontaneous SEH is not easy because early symptoms are often atypical and neurologic findings are often absent in the early stage. Ear...

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Bibliographic Details
Published in:The American journal of emergency medicine 2013-04, Vol.31 (4), p.757.e3-757.e4
Main Authors: Ko, Jung-In, MD, Kim, Taikwan, MD, Jwa, Cheol Su, MD, Jang, Ji Yeon, MD, Jeong, Ki Young, MD, Suh, Gil Jun, MD, Park, Taejin, MD
Format: Article
Language:English
Subjects:
Adult
Anticoagulants
Back pain
Brown-Sequard Syndrome - diagnosis
Brown-Sequard Syndrome - etiology
Brown-Sequard Syndrome - surgery
Dissection
Emergency
Emergency medical care
Hematoma, Epidural, Spinal - complications
Hematoma, Epidural, Spinal - diagnosis
Hematoma, Epidural, Spinal - surgery
Humans
Magnetic Resonance Imaging
Male
Patients
Spinal cord
Trauma
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Summary:Spontaneous spinal epidural hematoma (SEH) is a rare disease. Furthermore, Brown-Séquard syndrome due to spontaneous SEH has been rarely reported. Early detection of spontaneous SEH is not easy because early symptoms are often atypical and neurologic findings are often absent in the early stage. Early diagnosis and urgent surgical management are needed to prevent permanent neurologic deficits. We report a case of a 30-year-old patient who presented with Brown-Séquard syndrome due to spontaneous SEH. The patient has recovered successfully without any complications through surgical decompression within 12 hours of onset.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2012.11.018