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- Title
Spinal Epidural Hematoma Caused by Pure Epidural Spinal Arteriovenous Malformation: Case Report and Literature Review.
- Authors
Garbin, Elisa; Cavasin, Nicola; Magrini, Salima
- Abstract
Spontaneous spinal epidural hematoma (SEH) represents an extremely rare cause of spinal cord compression. Symptomatic pure extradural spinal AVMs (E-sAVM), in the absence of cavernous hemangiomas, are very rare and have rarely been reported. The clinical presentation of SEH caused by E-sAVM is often nonspecific and may lead to delayed diagnosis and treatment. We report the case of a 16-year-old adolescent girl who presented with paraparesis that rapidly evolved in paraplegia. Emergent magnetic resonance imaging (MRI) of the whole spine showed a posterior SEH, extending from C7 to T2, highly suspicious for the presence of an underlying AVM. The patient underwent emergent C7–T2 laminoplasty. An E-sAVM was intraoperatively found and subsequently excised. The patient was discharged with no neurological defects. E-sAVMs are extremely rare pathologies; they represent an extremely rare cause of spinal cord compression. If immediately diagnosed and treated, most patients recover with good prognosis.
- Subjects
SPINAL epidural hematoma; DIGITAL subtraction angiography; SPINAL cord compression; DELAYED diagnosis; MAGNETIC resonance imaging
- Publication
Indian Journal of Neurosurgery, 2024, Vol 13, Issue 2, p163
- ISSN
2277-954X
- Publication type
Article
- DOI
10.1055/s-0043-1776360