title: Spontaneous epidural hematoma complicated by systemic lupus erythematosus: one case report.
abstract: In this study, an unusual case of intracranial hemorrhage is presented. It is spontaneous epidural hemorrhage, the complication of Systemic Lupus Erythematosus. In this case, a 29-year-old female presented with vomiting and continuous headache and computed tomography revealed the right frontal parietal and temporal epidural hematoma. The patient had been diagnosed SLE one year ago. Together, these observations indicated that the patient needs a surgery to reduce the intracranial pressure. Following surgery, the symptoms were eradicated but 7 hours later after surgery the review head CT showed that left epidural hemorrhage. According to the surgery index, we decided to give the patient non-operative treatment and the intracranial hemorrhage was under control. We thought this was the surgery complication but it's not. On the eighth day after surgery, the patient had a sudden headache with vomiting again and head CT revealed that left epidural hemorrhage. But this time we just gave non-operative treatment and especially added the dose of glucocorticosteroid. 12 days later, the patient's symptoms were under control and she was discharged from hospital. We also reviewed the literature about spontaneous epidural hemorrhage and bilateral epidural hematomas.
authors.affiliation: Master in Reading, Clinical Medical College of Inner Mongolia University for The Nationalities Tongliao, China.
authors.forename: Wanli
authors.initials: W
authors.lastname: Song
authors.affiliation: Master in Reading, Clinical Medical College of Inner Mongolia University for The Nationalities Tongliao, China.
authors.forename: Ming
authors.initials: M
authors.lastname: Li
authors.affiliation: Department of Neurosurgery, Affiliated Hospital of Inner Mongolia University for The Nationalities Tongliao, China.
authors.forename: Bin
authors.initials: B
authors.lastname: Zhu
authors.affiliation: Department of Neurosurgery, Affiliated Hospital of Inner Mongolia University for The Nationalities Tongliao, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Chen
authors.affiliation: Department of Neurosurgery, Affiliated Hospital of Inner Mongolia University for The Nationalities Tongliao, China.
authors.forename: Jinsuo
authors.initials: J
authors.lastname: Bao
authors.affiliation: Department of Oncology, Affiliated Hospital of Inner Mongolia University for The Nationalities Tongliao, China.
authors.forename: Dapeng
authors.initials: D
authors.lastname: Wang
authors.affiliation: Department of Neurosurgery, Affiliated Hospital of Inner Mongolia University for The Nationalities Tongliao, China.
authors.forename: Fengke
authors.initials: F
authors.lastname: Xu
keywords: Spontaneous epidural hematoma; systemic lupus erythematosus; treatment