title: [Evolution of severe pain associated to spontaneous spinal epidural hematoma].
abstract: BACKGROUND
  Spontaneous spinal epidural hematoma is an infrequent disease, whose clinical presentation is very characteristic, with severe pain in region corresponding to the metameres affected, which orients its diagnosis and early treatment.
  
  
  METHODS
  Three clinical cases that occurred during 2003 and 2004 are presented. All three were middle- aged men, with spondyloarthrosis signs, posterolateral cervical location of hematoma, which debuted with severe cervical and cervicobrachial pain. This was followed by acute onset motor and sensory paralysis with spontaneous complete recovery in hours, only the pain persisting. The three patients were treated conservatively, pain being the main symptom. This pain only responded to intravenous steroids.
  
  
  CONCLUSIONS
  The evolution of the pain and pathophysiological mechanism by which the corticoids could improve the pain associated to these diseases are discussed.
authors.affiliation: Servicio de Neurologia, Consorcio Hospital General Universitario de Valencia, Valencia. txmate76@ono.com
authors.forename: Jm
authors.initials: J
authors.lastname: Pons Amate
authors.forename: J
authors.initials: J
authors.lastname: Sancho
authors.forename: A
authors.initials: A
authors.lastname: Romero Martínez
authors.forename: J
authors.initials: J
authors.lastname: Juni
authors.forename: A
authors.initials: A
authors.lastname: Cervelló Donderis
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology; D003937:Diagnosis, Differential; D046748:Hematoma, Epidural, Spinal / Q000150:complications* / Q000188:drug therapy / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D011859:Radiography; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology
chemical_list: D000305:Adrenal Cortex Hormones