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Spinal Epidural Hematoma
Aka: Spinal Epidural Hematoma, Traumatic Spinal Epidural Hematoma
- See Also
- Epidural Spinal Cord Compression (includes Spinal Cord Syndrome)
- Pathophysiology
- Expanding Spinal Epidural Hematoma results in Acute Spinal Cord Compression
- Uncommon disorder with potentially devastating results
- Often occurs without preceding Trauma
- Risk Factors
- Spinal Injury
- Bleeding Disorder
- Anticoagulation
- Signs
- See Acute Spinal Cord Compression
- Imaging
- See Acute Spinal Cord Compression
- MRI Spine
- T1 imaging with isointense clot appearance
- T2 imaging with enhancing clot appearance
- 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
- References
- Dasburg (2020) Crit Dec Emerg Med 34(6): 28-9