A rare case of spontaneous spinal epidural hematoma with spontaneous resolution

Authors

  • P M Suman Reddy
  • Jerry Jacob
  • Roger Shannon Dsouza

DOI:

https://doi.org/10.32677/ijcr.v10i5.4496

Keywords:

Epidural, Hematoma, High blood pressure, Spinal cord

Abstract

Spontaneous spinal epidural hematoma (SSEH) is an uncommon cause of acute spinal cord compression. It is a neurological emergency that requires urgent imaging and appropriate treatment to prevent permanent neurological sequelae. Here, we present the case of a 30-year-old male with no known comorbidities who presented to the emergency department with a history of sudden onset of upper backache and chest discomfort followed by bilateral lower limb weakness. On examination, the blood pressure was 220/120 mmHg, and neurological examination showed decreased tone and power of 2/5 in bilateral lower limbs. In view of the initial chest discomfort, a cardiac evaluation was done, which was normal, followed by magnetic resonance imaging of the whole spine, which showed a lesion in the anterior epidural space suggestive of hematoma, causing spinal cord compression. A final diagnosis was C6-T2 dorsal SSEH secondary to a hypertensive emergency.

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Published

2024-06-20

Issue

Section

Case Report

How to Cite

A rare case of spontaneous spinal epidural hematoma with spontaneous resolution. (2024). Indian Journal of Case Reports, 10(5), 155-157. https://doi.org/10.32677/ijcr.v10i5.4496