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J Korean Soc Emerg Med > Volume 11(2); 2000 > Article
Journal of The Korean Society of Emergency Medicine 2000;11(2): 248-254.
Acute Spontaneous Spinal Epidural Hemorrhage
Bo Seung Kang, Jeong Hoon Lee, Hyung Kon Song, Keun Jung Song, Yeon Kwon Jeong, Byoung Cheol Kim
1Department of Emergency Medicine, Seongkyungwan University School of Medicine, Korea.
2Department of Emergency Medicine, Asan Foundation Kangnung Hospital, Korea. olivertwistkang@hot.mail.com
Spontaneous spinal epidural hemorrhage(SSEH) represent 0.3%~0.9% of spinal epidural-space-occupying lesions. The therapeutic outcome seems to be determined by the accuracy of the diagnosis and by the time interval between the onset of symptom and surgical decompression. Thus, SSEH is a rare spinal emergency and a diagnostic challenge. We experienced two such cases. In one case, the symptoms were confused with those for a ureter stone, aortic aneurysm, spinal cord infarction. That patient completely recovered spontaneously within 2 hours. In the other case, which was initially diagnosed incorrectly as a cerebral infarction, surgical decompression was performed. That patient recovered completely within 1 month.
Key words: Spontaneous spinal epidural hemorrhage
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