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
Images: Related links to external sites (from Bing)
Related Studies
| 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 |
