II. Pathophysiology

  1. Expanding Spinal Epidural Hematoma results in Acute Spinal Cord Compression
  2. Uncommon disorder with potentially devastating results
    1. Often occurs without preceding Trauma

V. Imaging

  1. See Acute Spinal Cord Compression
  2. MRI Spine
    1. T1 imaging with isointense clot appearance
    2. T2 imaging with enhancing clot appearance

VI. Management

  1. See Acute Spinal Cord Compression
  2. Emergent neurosurgery Consultation for surgical evacuation of hematoma
  3. Reversal of Bleeding Diathesis
    1. Reverse Anticoagulation
    2. Consider Platelet Transfusion for severe Thrombocytopenia

VII. References

  1. Dasburg (2020) Crit Dec Emerg Med 34(6): 28-9

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Related Studies

Ontology: Traumatic spinal epidural hematoma (C0474997)

Concepts Injury or Poisoning (T037)
SnomedCT 262720008
English Traum spinl extradur haematoma, Traum spinl extradur hematoma, Traumatic spinal epidural hematoma, Traumatic spinal epidural haematoma, Traumatic spinal extradural hematoma, Traumatic spinal extradural haematoma, Traumatic spinal extradural hematoma (disorder)
Spanish hematoma extradural traumático de médula espinal (trastorno), hematoma extradural traumático de médula espinal