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Spinal epidural hematoma (SEH)

Spinal epidural hematoma (SEH) is an uncommon entity.



May be caused by traumatic or nontraumatic conditions that include coagulopathy, vascular lesions and iatrogenic or idiopathic causes.

Yamao et al first reported a operative and histological observation of recurrent spontaneous spinal epidural hematoma caused by a posterior venous plexus 1)

Spinal surgery


Differential diagnosis

In the presence of an epidural mass with clear clinical symptomatology, rare entities like chronic epidural hematoma or posterior migrated disk material should be always considered as a differential diagnosis in patients with suspicion of extradural chronic compressions. In these cases, only the intraoperatory and histopathological exams can provide a clear diagnosis 2).

Case reports

Yamao Y, Takagi Y, Kawauchi T, Arakawa Y, Takayama M, Miyamoto S. Surgical Management of Recurrent Spontaneous Spinal Epidural Hematoma With 3 Episodes. Spine (Phila Pa 1976). 2015 Sep 1;40(17):E996-E998. PubMed PMID: 26323026.
Iliescu BF, Chiriţă BC, Poeată I. The pitfalls of differential diagnosis of lumbar spine epidural lesions–exemplification with two particular cases and a review of the literature. Rev Med Chir Soc Med Nat Iasi. 2013 Oct-Dec;117(4):947-53. Review. PubMed PMID: 24502074.
spinal_epidural_hematoma.txt · Last modified: 2018/05/29 12:15 by administrador