The natural resolution of a lumbar spontaneous epidural hematoma and associated radiculopathy
This is a report of a 37-year-old man who, while lifting a heavy box, developed severe low-back pain radiating into the right anterior thigh. The only clinical signs were paraspinal muscle spasm and a positive femoral nerve stretch test on the right. An electromyographic study demonstrated denervati...
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Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 1994, Vol.19 (1), p.67-69 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | This is a report of a 37-year-old man who, while lifting a heavy box, developed severe low-back pain radiating into the right anterior thigh. The only clinical signs were paraspinal muscle spasm and a positive femoral nerve stretch test on the right. An electromyographic study demonstrated denervation in the right L2, L3, and L4 myotomes and paraspinal muscles. Magnetic resonance imaging (MRI) showed a large L1-2 anterior epidural hematoma compressing the spinal cord. The patient's pain gradually improved with conservative management and he returned to light work after 4 weeks. Repeat electromyographic and MRI studies were normal, indicating a resolution of the radiculopathy and hematoma. The diagnosis and management of spontaneous epidural hematomas are discussed. |
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ISSN: | 0362-2436 1528-1159 |
DOI: | 10.1097/00007632-199401000-00014 |