title: Spontaneous resolution of paraparesis because of acute spontaneous thoracolumbar epidural hematoma.
abstract: Symptomatic spontaneous spinal epidural hematoma(SSEH) is an uncommon cause of cord compression that commonly is considered an indication for emergent surgical decompression. We aimed to investigate a patient with a SSEH that completely resolved clinically and radiographically, without surgical treatment. The patient presented three days after the sudden onset of back pain, numbness, and weakness. Magnetic Resonance Imaging (MRI) revealed a posterior thoracolumbar epidural hematoma extending from the level of T10 to L2 with significant cord compression. Decompression was recommended but he refused surgery and was managed conservatively. One month later weakness totally recovered and hematoma was absent on MRI.
authors.affiliation: Bezmialem Vakif University, Faculty of Medicine, Department of Neurosurgery, Istanbul, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Gundag
authors.forename: M
authors.initials: M
authors.lastname: Hakan
authors.forename: K
authors.initials: K
authors.lastname: Dogan
authors.forename: S
authors.initials: S
authors.lastname: Kitis
authors.forename: N
authors.initials: N
authors.lastname: Ozkan
keywords: Conservative therapy; Cord compression; Spinal epidural hematoma