II. Pathophysiology
- Expanding Spinal Epidural Hematoma results in Acute Spinal Cord Compression
- Uncommon disorder with potentially devastating results
- Often occurs without preceding Trauma
III. Risk Factors
IV. Signs
V. Imaging
- See Acute Spinal Cord Compression
- MRI Spine
- T1 imaging with isointense clot appearance
- T2 imaging with enhancing clot appearance
VI. Management
- See Acute Spinal Cord Compression
- Emergent neurosurgery Consultation for surgical evacuation of Hematoma
- Reversal of Bleeding Diathesis
- Reverse Anticoagulation
- Consider Platelet Transfusion for severe Thrombocytopenia
VII. References
- Dasburg (2020) Crit Dec Emerg Med 34(6): 28-9