Author
Satoshi Terae
Bio: Satoshi Terae is an academic researcher. The author has contributed to research in topics: Epidural hematoma & Myelopathy. The author has an hindex of 1, co-authored 1 publications receiving 4 citations.
Topics: Epidural hematoma, Myelopathy
Papers
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TL;DR: A case of myelopathy caused by chronic epidural hematoma associated with L1 osteoporotic vertebral collapse is reported and the relevant literature is reviewed.
Abstract: Epidural hematoma associated with osteoporotic vertebral collapse has not been reported yet in the literature. We report a case of myelopathy caused by chronic epidural hematoma associated with L1 osteoporotic vertebral collapse and review the relevant literature.
4 citations
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TL;DR: Although the optimal treatment has not been determined for patients of OVC with DND in this study, the analysis could provide guidance for choosing an appropriate approach and it is believed that individualized surgical approach should be introduced based on the clinical characteristics of each patient.
17 citations
TL;DR: A 79-year-old woman developed neurological deficits 6 weeks after the onset of a thoracic osteoporotic compression fracture and acute decompressive laminectomy and percutaneous vertebroplasty were performed, and follow-up MR imaging showed complete resolution of the hematoma.
Abstract: A 79-year-old woman developed neurological deficits 6 weeks after the onset of a thoracic osteoporotic compression fracture. Magnetic resonance (MR) imaging of the thoracic spine revealed an epidural hematoma at the T10-L2 levels. Acute decompressive laminectomy and percutaneous vertebroplasty were performed. Following the surgery, the patient's neurologic deficits improved and follow-up MR imaging showed complete resolution of the hematoma. Spinal epidural hematomas are rare and associated delayed neurological deficits are extremely rare. Conservative treatment may be effective for epidural hematomas in neurologically intact patients, but epidural hematomas can be a cause of neural compression and symptomatic deterioration resulting in delayed neurological deficits during the follow-up period.
9 citations
TL;DR: An 82-year-old woman who had been managed conservatively for seven weeks with the diagnosis of a multi-level osteoporotic compression fracture, and a percutaneous vertebroplasty was performed, showed a nearly complete resolution of the hematoma.
Abstract: Chronic spinal epidural hematoma related to Kummell's disease is extremely rare. An 82-year-old woman who had been managed conservatively for seven weeks with the diagnosis of a multi-level osteoporotic compression fracture was transferred to our institute. Lumbar spine magnetic resonance images revealed vertebral body collapse with the formation of a cavitary lesion at L1, and a chronic spinal epidural hematoma extending from L1 to L3. Because of intractable back pain, a percutaneous vertebroplasty was performed. The pain improved dramatically and follow-up magnetic resonance imaging obtained three days after the procedure showed a nearly complete resolution of the hematoma. Here, we present the rare case of a chronic spinal epidural hematoma associated with Kummell's disease and discuss the possible mechanism.
5 citations
TL;DR: Although rare, the possibility of refracture of Kummell disease and spinal epidural hematoma should be kept in mind in patients with osteoporotic fractures.
2 citations