Chronic Spinal Epidural Hematoma Related to Kummell's Disease
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TLDR
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.Citations
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Radiologic Features and Clinical Course of Chronic Spinal Epidural Hematoma: Report of 4 Cases and Literature Review.
TL;DR: The incidence of a low-intensity rim on T2*-weighted images and bone erosions on computed tomography may help differentiate rare CSEH from other lumbar degenerative diseases and epidural space-occupying masses.
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Percutaneous vertebroplasty versus percutaneous kyphoplasty for the treatment of delayed post-traumatic vertebral body collapse (Kümmell’s disease) in Chinese patients: a systematic review and meta-analysis
TL;DR: There is sufficient evidence to support that PKP is better than PVP in the treatment of Kümmell’s disease in Chinese patients, and both of them had similar clinical results (e.g., analgesic effects, cement dosage, and leakage rate).
Journal ArticleDOI
Kummell's disease: literature update and challenges ahead
TL;DR: A thorough knowledge of Kummell’s disease and index of suspicion in appropriate situations is necessary for detection and discharge of effective treatment of osteonecrosis.
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Percutaneous vertebroplasty in osteoporotic vertebral compression fracture with huge spinal epidural hematoma
TL;DR: In this article , the authors investigated the management strategies and treatment outcomes of osteoporotic vertebral compression fracture (OVCF) accompanying huge spinal epidural hematoma (SEH) is fairly rare.
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Percutaneous vertebroplasty in osteoporotic vertebral compression fracture with huge spinal epidural hematoma
TL;DR: In selected patients without or with only slight neurologic symptoms, it is reasonable to perform PVP alone in OVCF accompanying SEH, and intravertebral stability after PVP might have played a role in spontaneous resolution of SEH.
References
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Surgical management of spinal epidural hematoma: relationship between surgical timing and neurological outcome
Michael T. Lawton,Randall W. Porter,Joseph E. Heiserman,Ronald Jacobowitz,Volker K.H. Sonntag,Curtis A. Dickman +5 more
TL;DR: This large series of SEH demonstrates that rapid diagnosis and emergency surgical treatment maximize neurological recovery, however, patients with complete neurological lesions or long-standing compression can improve substantially with surgery.
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Operative treatment of spontaneous spinal epidural hematomas : a study of the factors determining postoperative outcome
TL;DR: The critical factors for recovery after spontaneous spinal epidural hematoma are the level of preoperative neurological deficit and the operative interval, which suggests that local compression, rather than vascular obstruction, is the main factor in producing neurological deficit.
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Resolution of spontaneous spinal epidural hematoma without surgery: report of two cases.
TL;DR: Spontaneous spinal epidural hematoma should be considered in the differential diagnosis of sudden onset of spinal cord compression in association with back pain and patients initially presenting with severe neurologic dysfunction are potential candidates for conservative management if they demonstrate rapid and progressive improvement in neurologic function.
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Pathogenesis and diagnosis of delayed vertebral collapse resulting from osteoporotic spinal fracture.
TL;DR: Initial correct diagnosis and immobilization are important in preventing the delayed collapse with neurological deficit, and the presence of an intravertebral cleft and instability of the affected vertebra represent risk factors for vertebral collapse with epilepsy.
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Spontaneous spinal epidural hematoma causing paraplegia: resolution and recovery without surgical decompression.
TL;DR: Conservative (nonoperative) management of spontaneous spinal epidural hematomas may be appropriate in those instances in which there is early and sustained neurological recovery confirmed by radiological resolution of the lesion.