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Journal of Korean Neurosurgical Society 1996;25(2): 411-414.
Spontaneous Epidural Hematoma of the Lumbo-Sacral Region.
In Gwan Kho, Nam Kyu Kim, Kwang Hum Bak, Hyung Shik Shin, Jae Min Kim, Young Soo Kim, Yong Ko, Seon Hoon Oh, Suck Jun Oh, Kwang Myung Kim
Department of Neurosugery, College of Medicine, Hanyang University, Seoul, Korea.
ABSTRACT
Spontaneous epidural hematoma in the spinal canal is an uncommon entity and has usually caused progressive neurological deficits and surgical decompression should be required. A 27-year old patient suffered from acutely developed back pain, associated with a wrenching movement of the back. Several hours later, the symptoms were exaggerated with severely radiating pain to the posterior thigh and calf. The diagnosis was made on CT scan. The patient's clinical manifestations improved completely over a few days with surgical intervention. We reviewed the literatures and discussed the etiological factors of spinal epidural hematoma and the utility of CT scan in differentiating other cause of back pain.
Key Words: Spontaneous epidural hematoma; CT scan; Etiological factors
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