This report describes a 66-year-old man who presented with progressive paraparesis after a fall. Magnetic resonance imaging showed an acute spinal hematoma at T11-12 with spinal cord compression. The patient underwent an emergency left T11-12 hemilaminectomy. The hematoma was subarachnoid and the source of bleeding was an injured radicular vein. To the best of our knowledge, this is the first r...

A 54-year-old male presented with spontaneous acute epidural hematoma in the ventral cervical spine. The neurological deficits gradually improved spontaneously before surgery commenced. Serial magnetic resonance imaging demonstrated disappearance of the hematoma. He was managed conservatively and was discharged without deficits about 1 month after onset. Immediate surgical decompression may not...

Spinal epidural hematoma is a rare but serious neurological complication of neuraxial anesthesia. Enoxaparin sodium is a low molecular weight heparin (LMWH) for use in preventing deep venous thrombosis in patients undergoing total hip arthroplasty and total knee arthroplasty. Hemorrhage is an uncommon but documented adverse reaction when using LMWH. We report a case of epidural hematoma after l...

The prompt use of computerized tomography has significantly enhanced the early localization of traumatic posterior fossa hematoma of the brain. Consequently, timely surgical intervention has been possible before irreversible damage has set in. The result is an overall improvement in the survival of patients with this condition. The clinical presentations of 2 children who developed traumatic po...

The case of a 43-year-old Taiwanese man who presented with spinal epidural hematoma following intravenous administration of recombinant tissue plasminogen activator (rTPA) and heparin therapy for acute myocardial infarction (AMI) is reported. Upper back pain and progressive neurological dysfunction ensued, secondary to spinal epidural hematoma with spinal cord compression. The patient did not r...

A 57-year-old female presenting with acute-onset paraplegia was referred for magnetic resonance imaging (MRI) of cervico-dorsal spine. On MRI, multiple tortuous dilated vessels were noted in the epidural space with long segment cord compression and imaging features of compressive myelopathy. Associated small acute cervico-dorsal epidural hematoma was also noted in the same region. Computed tomo...

Spontaneous spinal epidural hematoma (SEH) is described as a spontaneous collection of blood in the spinal epidural space and often causes devastating sequelae unless it is diagnosed in time and effectively managed. Incidence rate is estimated at 0.1 per 100,000 individuals. Studies show that most cases occur in >40 year-olds (1, 2). Ethiopathogenesis is usually related to neoplasms, coagulopat...

EPIDURAL analgesia is most often used for postoperative pain relief, whereas it is no longer so commonly used for long-term treatment of pain from malignant diseases. For perioperative use, the epidural catheter is most frequently inserted before induction of anesthesia while the patient is awake, although there has recently been some debate as to whether regional techniques should or should no...

Spinal epidural hematoma (SEH) comprises a heterogeneous group of disorders with the final common result of hemorrhage in the spinal epidural space. In this review, the English language literature on SEH is examined. SEH may be acute or chronic, spontaneous, posttraumatic, or iatrogenic. Its occurrence appears to be particularly associated with acquired coagulopathy from medications and disease...