Epidural hematoma is usually found on the same side of the brain that was impacted by the blow, but on very rare occasions it can be due to a contrecoup injury. Epidural hematom dan subdural hematom subdural hematoma adalah perdarahan yang terjadi antara duramater dan araknoid, biasanya sering di daerah frontal, pariental dan temporal. Cervical spontaneuos spinal hematoma is a rare cause of acute devasting neurological symptoms. Traumatic epidural vs subdural hematoma school of medicine. Epidural hematoma definition and patient education. Hematoma espinal epidural espontaneo asociado a tratamiento anticoagulante con acenocumarol. Sep 30, 2010 spinal epidural hematoma is a rare complication associated with pain control procedures such as facet block, acupuncture, epidural injection, etc. Ha aumento do volume cefalico e abaulamento da fontanela. Spinal subdural hematoma with cauda equina syndrome. Extradural hematoma edh, also known as an epidural hematoma, is a collection of blood that forms between the inner surface of the skull and outer layer of the dura, which is called the endosteal layer. Spinal subdural or epidural hematoma neurologic disorders. Knowledge of their pharmacokinetics is crucial for. Spine pain is a sentinel symptom that may precede neurologic. Hematoma epidural paling sering terjadi di daerah perietotemporal akibat robekan arteria meningea media.
Epidural hematoma secondary to neuroaxial anesthesia is a rare. Diagnosis is by mri or, if not immediately available, by ct myelography. Epidural haematoma it is a collection of blood between the potential space that exists between the inner table of skull and the dura periosteal layer. Hematoma epidural cervicotoracico espontaneo agudo medicina. Juan carlos zafra pedone1, jos andrs calvache espaa2. Extension of hematoma usually is limited by the suture lines owing to the light attachment of the dura at these locations continuation of periosteal layer of the dura with the pericranium. Epidural hematoma is a rare but known complication of spinal surgery. Trauma or other injury to your head can cause your brain to bounce. Absceso epidural espinal trastornos neurologicos manual.
Although it is an uncommon cause of acute myelopathy, and it may require surgical evacuation. It should be suspected in the patient who demonstrates a new postoperative neurologic deficits. Pdf hematoma espinal subdural espontaneo angeles enriquez. Staff anesthesiologist, resident, department of anesthesiology and critical care medicine, university hospital dresden, technical university dresden. Acute spontaneous spinal epidural hematoma asseh is a dramatic condition that may produce severe neurologic deficit. Spinal epidural hematoma after spinal anesthesia in a. Since bleeding is under artertial pressure, the hematoma may expand rapidly. The spontaneous development of spinal epidural hematomas is most frequent after the fourth or fifth decade 5. Often there is loss of consciousness following a head injury, a brief regaining of consciousness, and then loss of consciousness again. What is the difference between a subdural and epidural. Jul 20, 2008 a spinal epidural hematoma is a rare but significant neurological condition. They are usually associated with a history of head trauma and frequently associated skull fracture. Other symptoms may include headache, confusion, vomiting, and an inability to move parts of the body. Hematoma espinal subaracnoideo secundario a anestesia.
The usual clinical presentation of sseh is sudden neck or back pain that progresses toward paraparesis or quadriparesis, depending on. A spinal subdural or epidural hematoma is an accumulation of blood in the subdural or epidural space that can mechanically compress the spinal cord. Spinal cord compression by chronic subdural hematoma in. Spinal epidural hematoma after spinal anesthesia in a patient.
Spinal epidural hematoma is a rare complication associated with pain control procedures such as facet block, acupuncture, epidural injection, etc. Hematoma epidural espinal hematoma subdural espinal imagen por resonancia magnetica key words mesh hematoma epidural spinal subdural hematoma magnetic resonance imaging. Hematoma epidural espinal postquirurgico casos clinicos. It is important to diagnose an epidural hematoma as soon as possible to prevent the morbidity associated with it. A right temporoparietal craniotomy was carried out to evacuation of the posterior hematoma. Hematoma subdural o epidural espinal trastornos neurologicos. An epidural hematoma occurs when a mass of blood forms in the space between your skull and the protective covering of your brain. Patient evolved satisfactorily with a total recovery as much clinical as imaging. Hematoma epidural y subdural carrera lesion prueba. Epidural hematoma, subacute epidural hematoma, posttraumatic epidural hematoma. In recent years newly developed antiplatelet drugs such as the thienopyridine derivatives ticlopidine and clopidogrel are being increasingly used in patients with cardiovascular disease. Bilateral subdural hematoma secondary to accidental dural puncture. Spontaneous spinal epidural hematoma sseh is a rare idiopathic condition that leads to acute onset of neurological deficits, which if not recognized early can have catastrophic consequences. Epidural hematoma is when bleeding occurs between the tough outer membrane covering the brain dura mater and the skull.
Mortality is largely due to increased intracranial pressure and herniation. Spontaneous spinal epidural hematoma sseh is a relatively rare disease. Hematoma espinal subaracnoideo secundario a anestesia espinal. Hematomas subdurais tambem podem ocorrer na infancia por trauma obstetrico ou quedas. A complication of combined spinal epidural anesthesia. The critical factors for recovery after spinal epidural hematoma are. Spinal epidural hematoma after pain control procedure. Nov 02, 2015 epidural haematoma it is a collection of blood between the potential space that exists between the inner table of skull and the dura periosteal layer. However, it has been reported to occur in all age groups, and it is a very rare clinical entity in children.
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