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CC BY 4.0 · Indian Journal of Neurotrauma
DOI: 10.1055/s-0044-1801286
Brief Report

Iatrogenic Acute Spinal Epidural Hematoma in Children

Hossam Elnoamany
1   Department of Neurosurgery, Faculty of Medicine, Menoufia University, Shibin Elkom, Menoufia, Egypt
,
Hany Elkholy 
1   Department of Neurosurgery, Faculty of Medicine, Menoufia University, Shibin Elkom, Menoufia, Egypt
,
Mazen Agour
1   Department of Neurosurgery, Faculty of Medicine, Menoufia University, Shibin Elkom, Menoufia, Egypt
,
Ahmed Ezat
1   Department of Neurosurgery, Faculty of Medicine, Menoufia University, Shibin Elkom, Menoufia, Egypt
,
Amr Hammad
1   Department of Neurosurgery, Faculty of Medicine, Menoufia University, Shibin Elkom, Menoufia, Egypt
,
Mohammed Dorrah
1   Department of Neurosurgery, Faculty of Medicine, Menoufia University, Shibin Elkom, Menoufia, Egypt
,
Nour Elnoamany
1   Department of Neurosurgery, Faculty of Medicine, Menoufia University, Shibin Elkom, Menoufia, Egypt
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Funding None.
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Abstract

Spinal epidural hematoma (SEH) is a relatively rare spine space occupying lesion with approximated incidence of 0.1 per 100,000. SEH can be acute or chronic, spontaneous, posttraumatic, or iatrogenic following lumbar puncture (LP) or spine surgery. In this study, we present the case of a 12-year-old girl with a history of leukemia who was referred to us with acute progressive paraparesis and urinary retention following LP that was performed for intrathecal chemotherapy injection. Magnetic resonance imaging revealed SEH opposite the T10–T12 level. Emergency laminectomy and hematoma evacuation were performed. SEH can be a potentially devastating lesion that can result in progressive neurological deficits and permanent disability if it is not diagnosed early and treated properly. Immediate surgical decompression and hematoma evacuation can preserve the neurological function and insure favorable clinical recovery.

Keywords

children - intrathecal chemotherapy - lumbar puncture - spinal epidural hematoma - paraparesis

Patients' Consent

Informed consent was taken from the patient's father who agreed for participation and publication.




Publikationsverlauf

Artikel online veröffentlicht:
20. Dezember 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Ali SS, Shaw AE, Oselkin M, Bragin I. Iatrogenic spinal epidural hematoma associated with intracranial hypotension. Cureus 2019; 11 (03) e4171
    PubMedSuche in Google Scholar
  • 2 Rasekhi R, Viswanath O, Fu E, Cordova C. Iatrogenic spinal epidural hematoma in the acute postoperative period. Ochsner J 2018; 18 (03) 268-270
    CrossrefPubMedSuche in Google Scholar
  • 3 Svelato A, Rutili A, Bertelloni C, Foti D, Capizzi A, Ragusa A. Case report: difficulty in diagnosis of delayed spinal epidural hematoma in puerperal women after combined spinal epidural anaesthesia. BMC Anesthesiol 2019; 19 (01) 54
    CrossrefPubMedSuche in Google Scholar
  • 4 Binder DK, Sonne DC, Lawton MT. Spinal epidural hematoma. Neurosurg Q 2004; 14 (01) 51-59
    CrossrefPubMedSuche in Google Scholar
  • 5 Miyagi Y, Miyazono M, Kamikaseda K. Spinal epidural vascular malformation presenting in association with a spontaneously resolved acute epidural hematoma. Case report. J Neurosurg 1998; 88 (05) 909-911
    CrossrefPubMedSuche in Google Scholar
  • 6 Liu Z, Jiao Q, Xu J, Wang X, Li S, You C. Spontaneous spinal epidural hematoma: analysis of 23 cases. Surg Neurol 2008; 69 (03) 253-260 , discussion 260
    CrossrefPubMedSuche in Google Scholar
  • 7 Cabana F, Pointillart V, Vital J, Sénégas J. Postoperative compressive spinal epidural hematomas. 15 cases and a review of the literature. Rev Chir Orthop Repar Appar Mot 2000; 86 (04) 335-345
    PubMedSuche in Google Scholar
  • 8 Awad JN, Kebaish KM, Donigan J, Cohen DB, Kostuik JP. Analysis of the risk factors for the development of post-operative spinal epidural haematoma. J Bone Joint Surg Br 2005; 87 (09) 1248-1252
    CrossrefPubMedSuche in Google Scholar
  • 9 Gerancher JC, Waterer R, Middleton J. Transient paraparesis after postdural puncture spinal hematoma in a patient receiving ketorolac. Anesthesiology 1997; 86 (02) 490-494
    CrossrefPubMedSuche in Google Scholar
  • 10 Goyal A, Dua R, Singh D, Kumar S. Spinal subarachnoid haematoma following lumbar puncture. Neurol India 1999; 47 (04) 339-340
    PubMedSuche in Google Scholar
  • 11 Brown MW, Yilmaz TS, Kasper EM. Iatrogenic spinal hematoma as a complication of lumbar puncture: what is the risk and best management plan?. Surg Neurol Int 2016; 7 (22, suppl 22): S581-S589
    CrossrefPubMedSuche in Google Scholar
  • 12 Halim TA, Nigam V, Tandon V, Chhabra HS. Spontaneous cervical epidural hematoma: report of a case managed conservatively. Indian J Orthop 2008; 42 (03) 357-359
    CrossrefPubMedSuche in Google Scholar
  • 13 Marx JA, Hockberger RS, Walls RM, Adams GA. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed.. Philadelphia, PA: Mosby Incorporated; 2010: 605-675
    Suche in Google Scholar
  • 14 Matsumura A, Namikawa T, Hashimoto R. et al. Clinical management for spontaneous spinal epidural hematoma: diagnosis and treatment. Spine J 2008; 8 (03) 534-537
    CrossrefPubMedSuche in Google Scholar
  • 15 Tailor J, Dunn IF, Smith E. Conservative treatment of spontaneous spinal epidural hematoma associated with oral anticoagulant therapy in a child. Childs Nerv Syst 2006; 22 (12) 1643-1645
    CrossrefPubMedSuche in Google Scholar