Abstract
A 70-year-old man on antiplatelet therapy developed sudden severe back pain in his neck with numbness and weakness in his extremities; On admission he presented with complete quadriplegia, hypoesthesia, and anuria. Magnetic resonance imaging (MRI) revealed cervical cord compression due to an epidural hematoma posterior to the spinal cord, and intramedullary hyperintensity. Surgical evacuation was performed about 12 hours after the onset, but the recovery of neurological deficits was poor. After performing 2 additional administrations of steroid pulse therapy, the patient's motor dysfunction began to improve and spinal MRI showed a recovery as well. These observations suggest that steroid administration should be considered as a post-operative additional therapy for cases with severe neurological deficits even after surgery.
| Original language | English |
|---|---|
| Pages (from-to) | 437-440 |
| Number of pages | 4 |
| Journal | Internal Medicine |
| Volume | 47 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2008 |
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Keywords
- Spontaneous spinal epidural hematoma
- Steroid pulse therapy
ASJC Scopus subject areas
- Internal Medicine
- Medicine(all)
Cite this
Spontaneous cervical epidural hematoma treated by the combination of surgical evacuation and steroid pulse therapy. / Omori, Nobuhiko; Takada, Eiichi; Narai, Hisashi; Tanaka, Tomotaka; Abe, Koji; Manabe, Yasuhiro.
In: Internal Medicine, Vol. 47, No. 5, 2008, p. 437-440.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Spontaneous cervical epidural hematoma treated by the combination of surgical evacuation and steroid pulse therapy
AU - Omori, Nobuhiko
AU - Takada, Eiichi
AU - Narai, Hisashi
AU - Tanaka, Tomotaka
AU - Abe, Koji
AU - Manabe, Yasuhiro
PY - 2008
Y1 - 2008
N2 - A 70-year-old man on antiplatelet therapy developed sudden severe back pain in his neck with numbness and weakness in his extremities; On admission he presented with complete quadriplegia, hypoesthesia, and anuria. Magnetic resonance imaging (MRI) revealed cervical cord compression due to an epidural hematoma posterior to the spinal cord, and intramedullary hyperintensity. Surgical evacuation was performed about 12 hours after the onset, but the recovery of neurological deficits was poor. After performing 2 additional administrations of steroid pulse therapy, the patient's motor dysfunction began to improve and spinal MRI showed a recovery as well. These observations suggest that steroid administration should be considered as a post-operative additional therapy for cases with severe neurological deficits even after surgery.
AB - A 70-year-old man on antiplatelet therapy developed sudden severe back pain in his neck with numbness and weakness in his extremities; On admission he presented with complete quadriplegia, hypoesthesia, and anuria. Magnetic resonance imaging (MRI) revealed cervical cord compression due to an epidural hematoma posterior to the spinal cord, and intramedullary hyperintensity. Surgical evacuation was performed about 12 hours after the onset, but the recovery of neurological deficits was poor. After performing 2 additional administrations of steroid pulse therapy, the patient's motor dysfunction began to improve and spinal MRI showed a recovery as well. These observations suggest that steroid administration should be considered as a post-operative additional therapy for cases with severe neurological deficits even after surgery.
KW - Spontaneous spinal epidural hematoma
KW - Steroid pulse therapy
UR - http://www.scopus.com/inward/record.url?scp=40949162878&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=40949162878&partnerID=8YFLogxK
U2 - 10.2169/internalmedicine.47.0463
DO - 10.2169/internalmedicine.47.0463
M3 - Article
C2 - 18310978
AN - SCOPUS:40949162878
VL - 47
SP - 437
EP - 440
JO - Internal Medicine
JF - Internal Medicine
SN - 0918-2918
IS - 5
ER -