Summary
Spontaneous spinal epidural haematomas are rare and in only about 10% of the reported cases has the vascular source of the bleeding been detected.
A case of acute cervical epidural haematoma, arising from a ruptured vascular malformation, successfully operated on, is presented. Clinical, neuroradiological, and pathological findings are described in detail. Significance of postoperative selective spinal angiography is discussed.
Similar content being viewed by others
References
Ainslie, J. P., Paraplegia due to spontaneous extradural or subdural hemorrhage. Brit. J. Surg.45 (1958), 565–567.
Alderman, D. B., Extradural spinal cord hematoma: report of a case due to dicumarol. New Engl. J. Med.255 (1955), 565–567.
Bidzinski, J., Spontaneous spinal epidural hematoma during pregnancy: case report. J. Neurosurg.24 (1966), 1017.
Cloward, R. B., Yuhl, E. T., Spontaneous intraspinal hemorrhage and paraplegia complicating dicumarol therapy. Neurology5 (1955), 600–602.
Cube, H. M., Spinal extradural hemorrhage. J. Neurosurg.26 (1962), 343–345.
Dawson, B. H., Paraplegia due to spinal epidural hematoma. J. Neurol. Neurosurg. Psychiat.26 (1963), 171–173.
Devadiga, K. V., Gass, H. H., Chronic lumbar extradural hematoma. J. Neurol. Neurosurg. Psychiat.36 (1973), 255–259.
Ghanem, Q., Ivan, L. P., Spontaneous spinal epidural hematoma in an 8-year-old boy. Neurology28 (1978), 829–832.
Guthkelch, A. N., Hemangiomas involving spinal epidural space. J. Neurol. Neurosurg. Psychiat.11 (1948), 199–210.
Kaplan, L. I., Denker, P., Acute non traumatic spinal epidural hemorrhage. Amer. J. Surg.78 (1949), 356–361.
Krayenbühl, H., Siebenmann, R., Small vascular malformations as a cause of primary intracerebral hemorrhage. J. Neurosurg.22 (1965), 7–20.
Jackson, R., Case of spinal apoplexy. Lancet2 (1869), 5–6.
Jackson, F. E., Spontaneous spinal epidural hematoma coincident with whooping cough: case report. J. Neurosurg.20 (1963), 715–717.
Johnston, L. M., Epidural hemangioma with compression of spinal cord. J.A.M.A.119 (1938), 119–122.
Lepoire, J., Tridon, P., Montaut, J., Germain, F., L'hématome extra dural rachidien spontané. Neurochir.6 (1961), 298–313.
Lougheed, W. M., Hoffman, H. J., Spontaneous spinal extradural hematoma. Neurology10 (1960), 1059–1063.
Lowrey, J. J., Spinal epidural hematomas; experiences with three patients. J. Neurosurg.16 (1959), 508–513.
Markham, J. W., Lynge, H. N., Stalham, G., The syndrome of spontaneous spinal epidural hematoma; report of three cases. J. Neurosurg.26 (1967), 334–342.
Maxwell, G. M., Puletti, F., Chronic spinal epidural hematoma in a child. Neurology7 (1957), 596–600.
McQuarrie, I. G., Recovery from paraplegia caused by spontaneous spinal epidural hematoma. Neurology28 (1978), 224–228.
Nichols, P., Manganiello, L. O. J., Extradural hematoma of the spinal canal; report of a case. J. Neurosurg.13 ((1956), 638–640.
Packer, N. P., Cummins, B. H., Spontaneous epidural hemorrhage: a surgical emergency. Lancet18 (1978), 356–358.
Pear, B. L., Spinal epidural hematoma. Amer. J. Roentgenol.115 (1972), 155–164.
Pendl, G., Ganglberger, J. A., Horcajada, J., Spinal extradural hematoma. Acta Neurochir. (Wien)24 (1971), 207–217.
Sadka, M., Epidural spinal hemorrhage; with report of two cases. Med. J. Aust.2 (1953), 669–672.
Svien, H. G., Adson, A. W., Dodge, H. W., Jr., Lumbar extradural hematoma; report of case simulating protruded disc syndrome. J. Neurosurg.7 (1950), 587–588.
Yoneckawa, Y., Mehdorn, H. M., Nishikawa, M., Spontaneous spinal epidural hematoma during pregnancy. Surg. Neurol.3 (1975), 327–328.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Solero, C.L., Fornari, M. & Savoiardo, M. Spontaneous spinal epidural haematoma arising from ruptured vascular malformation. Acta neurochir 53, 169–174 (1980). https://doi.org/10.1007/BF02074789
Issue Date:
DOI: https://doi.org/10.1007/BF02074789