Surgical neurology international · 2025
Spontaneous lumbar epidural hematoma induced by acute disc herniation: A rare cause of cauda equina syndrome successfully treated with minimally invasive surgery - A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Obeidat Bader Omar, Altunbi Bashar, Jaradat Fanar
Аннотация
BACKGROUND: Spontaneous spinal epidural hematoma in the lumbar spine is rare, and its occurrence in conjunction with acute disc herniation is exceptionally uncommon.
CASE DESCRIPTION: A 63-year-old male with chronic back pain experienced sudden exacerbation and progressive bilateral lower limb weakness. Magnetic resonance imaging with contrast revealed a sequestrated L2/3 disc and adjacent epidural hematoma compressing the thecal sac. Minimally invasive decompression and hematoma evacuation were performed. A ruptured epidural vein was identified intraoperatively. Neurological improvement was immediate, and the patient was discharged on postoperative day 2.
CONCLUSION: This case underscores a rare etiology of cauda equina syndrome and highlights the importance of prompt diagnosis and minimally invasive surgical intervention for optimal outcomes.
CASE DESCRIPTION: A 63-year-old male with chronic back pain experienced sudden exacerbation and progressive bilateral lower limb weakness. Magnetic resonance imaging with contrast revealed a sequestrated L2/3 disc and adjacent epidural hematoma compressing the thecal sac. Minimally invasive decompression and hematoma evacuation were performed. A ruptured epidural vein was identified intraoperatively. Neurological improvement was immediate, and the patient was discharged on postoperative day 2.
CONCLUSION: This case underscores a rare etiology of cauda equina syndrome and highlights the importance of prompt diagnosis and minimally invasive surgical intervention for optimal outcomes.