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Journal of Korean Neurosurgical Society 1999;28(5): 713-719.
Spontaneous Spinal Epidural Hematoma Mimicking Lumbar Disc Herniation.
Sun Man Kweon, Byung Ho Jin, Young Soo Kim
Spine Center, Department of Neurosurgery, Yongdong Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
We experienced 5 surgically confirmed cases of spontaneous lumbosacral spinal epidural hematoma. There was no history of major trauma to the lumbar spine, anticoagulant use, or coagulopathy except repeated minor trauma. The clinical findings in spontaneous spinal epidural hematoma were identical to those in acute disc herniation. These cases were combined with diffuse disc bulging and located in one level of intervertebral segment. Etiologic factors, the clinical findings, bleeding source of lumbo-sacral spontaneous epidural hematoma are stressed with review of patient literature.
Key Words: Spontaneous spinal epidural hematoma; Lumbo-sacral region; Etiologic factors
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