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Journal of Korean Neurosurgical Society 1985;14(2): 443-450.
Spinal Epidural Hematoma Caused by Ruptured Vascular Malformation: Report of Two Cases.
Mou Seop Lee, Yang Kwon, Hee Won Jung, Hyun Jip Kim, Je G Chi
1Department of Neurosurgery, , College of Medicine, Seoul National University, Seoul, Korea.
2Department of Pathology, College of Medicine, Seoul National University, Seoul, Korea.
ABSTRACT
Two cases of thoracic spinal epidural hematoma are reported, which were dorsolaterally located and were caused by ruptured epidural vascular malformation. Presenting symptoms of acute spinal and abdominal pain were followed by paraparesis and loss of sphincter control. Metrizamide myelogram showed total block of dye column, and spine CT just after myelogram revealed dorsolaterally located epidural mass lesion. Total laminectomy with evacuation of hematoma and biopsy was performed in both cases. One patient recovered completely and the other patient is still paraparetic.
Key Words: Spinal epidural hematoma; Vascular malformation; Laminectomy
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