A thoracolumbar epidural hematoma simulating a disc syndrome.
Epidural hematoma, a rare entity, may occur spontaneously, although a factor such as anticoagulation therapy is more frequently the cause. Epidural hematomas most commonly manifest with pain and neurologic deficit. Only six cases of lumbar hematoma simulating a herniated disc syndrome have been reported in the literature. In this article a thorough knowledge of the natural history and the differential diagnosis of disc disease as well as the importance of a complete physical examination are emphasized. Sagittal MRI imaging, as shown here, has proved to be an important adjunct in the evaluation of multilevel spinal disorders.
Mirkovic
S
S
Department of Orthopaedics, Northwestern University School of Medicine, Chicago, Illinois 60611-3008.
Melany
M
M
D003937:Diagnosis, Differential; D006407:Hematoma, Epidural, Cranial / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000175:diagnosis*; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012585:Sciatica / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014859:Warfarin / Q000009:adverse effects
D014859:Warfarin