Öz
Spinal epidural and subdural hematomas are rare spinal pathologies. However, these pathologies must be remembered beside cranial pathologies in motor function disorders that develop in patients with coagulopathies or patients using anticoagulant and antiplatelet medications. In the current paper, three spinal hematoma cases that developed as the complications of a primary cardiovascular pathology have been presented. This article particularly indicates that the duration between the setting of the neurological status of the patient and the surgical treatment is the most important factor affecting the recovery of neurological functions
Anahtar Kelimeler
Acute spinal epidural hematoma acute spinal subdural hematoma cardiovascular disease complication
Kaynakça
- Baek BS, Hur JW, Kwon KY, Lee HK. Spontaneous spinal epidural hematoma. J Korean Neurosurg Soc 2008;44:40–2. [CrossRef]
- Fukui MB, Swarnkar AS, Williams RL. Acute spontaneous spinal epidural hematomas. AJNR Am J Neuroradiol 1999;20:1365–72. http://www.ajnr.org/content/20/7/1365.long
- Russell NA, Benoit BG. Spinal subdural hematoma. A review. Surg Neurol 1983;20:133–37. [CrossRef]
- Oh SH, Han IB, Koo YH, Kim OJ. Acute spinal subdural hematoma presenting with spontaneously resolving hemiplegia. J Korean Neurosurg Soc 2009;45:390–93. [CrossRef]
- Bruce-Brand RA, Colleran GC, Broderick JM, Lui DF, Smith EM, Kavanagh EC, Poynton AR. Acute nontraumatic spinal intradural hematoma in a patient on warfarin. J Emerg Med 2013;45:695–97. [CrossRef]
- Liao CH, Chang FC, Hsu SPC, Hung YC, Chen HH, Liang ML et al. Spinal subdural hematoma following posterior fossa surgery. Formosan J Surg 2013;46:52–5. [CrossRef]
- Park YJ, Kim SW, Ju CI, Wang HS. Spontaneous resolution of non- traumatic cervical spinal subdural hematoma presenting acute hemiparesis: a case report. Korean J Spine 2012;9:257–60. [CrossRef]
- Yang NR, Kim SJ, Cho YJ, Cho do S. Spontaneous resolution of nontraumatic acute spinal subdural hematoma. J Korean Neurosurg Soc 2011;50:268–70. [CrossRef]
- Jackson R. Case of spinal apoplexy. Lancet 1869;94:5–6. [CrossRef]
- Chung J, Park IS, Hwang SH, Han JW. Acute spontaneous spinal subdural hematoma with vague symptoms. J Korean Neurosurg Soc. 2014;56:269–71. [CrossRef]
- Dampeer RA. Spontaneous spinal subdural hematoma: case study. Am J Crit Care 2010;19:191–93. [CrossRef]
- Kim HY, Ju CI, Kim SW. Acute cervical spinal subdural hematoma not related to head injury. J Korean Neurosurg Soc 2010;47:467–69. [CrossRef]
- Morandi X, Riffaud L, Chabert E, Brassier G. Acute nontraumatic spinal subdural hematomas in three patients. Spine (Phila Pa 1976) 2001;26:E547–51. [CrossRef]
Öz
Spinal epidural ve subdural hematoma patolojileri ender görülen spinal patolojilerdir. Koagülopatisi olan veya antikoagülan, antiagregan ilaç kullanan hastalarda gelişen motor fonksiyon bozukluklarında, spinal hematomların akılda tutulmaları gereklidir. Bu yazıda; primer kardiyovasküler patolojisi nedeniyle tedavi gören üç hastada komplikasyon olarak gelişen spinal hematom olguları sunulmuştur. Bu hastaların cerrahi tedavisi ve sonrasındaki motor fonksiyonlarındaki düzelme takip sonuçlarına göre özetlenmiştir. Özellikle bu yazıda nörolojik tablo oturmadan, cerrahiye tedaviye alınana kadar geçen sürenin; nörolojik fonksiyonlardaki iyileşmede en önemli faktör olduğu vurgulanmaktadır
Anahtar Kelimeler
Akut spinal epidural hematom akut subdural spinal hematom kardiyovasküler hastalık komplikasyon
Kaynakça
- Baek BS, Hur JW, Kwon KY, Lee HK. Spontaneous spinal epidural hematoma. J Korean Neurosurg Soc 2008;44:40–2. [CrossRef]
- Fukui MB, Swarnkar AS, Williams RL. Acute spontaneous spinal epidural hematomas. AJNR Am J Neuroradiol 1999;20:1365–72. http://www.ajnr.org/content/20/7/1365.long
- Russell NA, Benoit BG. Spinal subdural hematoma. A review. Surg Neurol 1983;20:133–37. [CrossRef]
- Oh SH, Han IB, Koo YH, Kim OJ. Acute spinal subdural hematoma presenting with spontaneously resolving hemiplegia. J Korean Neurosurg Soc 2009;45:390–93. [CrossRef]
- Bruce-Brand RA, Colleran GC, Broderick JM, Lui DF, Smith EM, Kavanagh EC, Poynton AR. Acute nontraumatic spinal intradural hematoma in a patient on warfarin. J Emerg Med 2013;45:695–97. [CrossRef]
- Liao CH, Chang FC, Hsu SPC, Hung YC, Chen HH, Liang ML et al. Spinal subdural hematoma following posterior fossa surgery. Formosan J Surg 2013;46:52–5. [CrossRef]
- Park YJ, Kim SW, Ju CI, Wang HS. Spontaneous resolution of non- traumatic cervical spinal subdural hematoma presenting acute hemiparesis: a case report. Korean J Spine 2012;9:257–60. [CrossRef]
- Yang NR, Kim SJ, Cho YJ, Cho do S. Spontaneous resolution of nontraumatic acute spinal subdural hematoma. J Korean Neurosurg Soc 2011;50:268–70. [CrossRef]
- Jackson R. Case of spinal apoplexy. Lancet 1869;94:5–6. [CrossRef]
- Chung J, Park IS, Hwang SH, Han JW. Acute spontaneous spinal subdural hematoma with vague symptoms. J Korean Neurosurg Soc. 2014;56:269–71. [CrossRef]
- Dampeer RA. Spontaneous spinal subdural hematoma: case study. Am J Crit Care 2010;19:191–93. [CrossRef]
- Kim HY, Ju CI, Kim SW. Acute cervical spinal subdural hematoma not related to head injury. J Korean Neurosurg Soc 2010;47:467–69. [CrossRef]
- Morandi X, Riffaud L, Chabert E, Brassier G. Acute nontraumatic spinal subdural hematomas in three patients. Spine (Phila Pa 1976) 2001;26:E547–51. [CrossRef]
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Haziran 2020 |
| Yayımlandığı Sayı | Yıl 2020Sayı: 2 |