Spontaneous Resolution of Spinal Epidural Hematoma: A Case Report.

Park,  Hyun Jun; Kim,  Il Sup; Lee,  Sang Won; Son,  Byung Chul; Sung,  Jae Hoon; Hong,  Jae Taek; Yang,  Seung Ho

Case Report

Korean J Spine 2008;5(2): 107-109.

Spontaneous Resolution of Spinal Epidural Hematoma: A Case Report.

Hyun Jun Park, Il Sup Kim, Sang Won Lee, Byung Chul Son, Jae Hoon Sung, Jae Taek Hong, Seung Ho Yang

Derpartment of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea. nsman72@hanmail.net

Abstract

Spinal epidural hematoma(SEH) is not common in lumbar spine disorders and can be developed spontaneously without direct trauma. According to the neurologic deficit and clinical condition of patient, surgical intervention can be required. Authors report a case of spontaneous lumbar SEH resolved spontaneously without surgery. A 59-year-old man had suffered back pain and left leg pain for three weeks without trauma while working on his farm. Magnetic resonance imaging MRI demonstrated a lumbar epidural hematoma at L3/4 level. After 3 months of conservative treatment, his clini- cal symptoms were disappeared completely without neurologic deficit, and the follow-up myelocomputed tomogram(CT) showed complete resolution of the SEH. The primary treatment modality of SEH is surgical evacuation of hema- toma in case of neurologic deterioration, but conservative treatment may be considered if the patient has no neurologic deficit.

Keywords: Spontaneous resolution;Spinal epidural hematoma;Conservative treatment