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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| container_title | Spine (Philadelphia, Pa. 1976) |
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| creator | KINGERY, W. S SEIBEL, M DATE, E. S MARKS, M. P |
| description | 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. |
| doi_str_mv | 10.1097/00007632-199401000-00014 |
| format | Article |
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S</creatorcontrib><creatorcontrib>SEIBEL, M</creatorcontrib><creatorcontrib>DATE, E. S</creatorcontrib><creatorcontrib>MARKS, M. P</creatorcontrib><title>The natural resolution of a lumbar spontaneous epidural hematoma and associated radiculopathy</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>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.</description><subject>Adult</subject><subject>Back Pain - etiology</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Diseases of the spine</subject><subject>Hematoma, Epidural, Cranial - complications</subject><subject>Hematoma, Epidural, Cranial - diagnosis</subject><subject>Hematoma, Epidural, Cranial - physiopathology</subject><subject>Humans</subject><subject>Lumbosacral Region</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Peripheral Nervous System Diseases - diagnosis</subject><subject>Peripheral Nervous System Diseases - etiology</subject><subject>Peripheral Nervous System Diseases - physiopathology</subject><subject>Remission, Spontaneous</subject><subject>Spinal Cord Compression - etiology</subject><subject>Spinal Cord Compression - physiopathology</subject><subject>Spinal Nerve Roots</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kEtLxDAQgIMo67r6E4QcxFs1adI8jiK-YMHLepQyTVK20jY1aQ_7783u1h0IQ5hvZpIPIUzJAyVaPpIUUrA8o1pzQtMtS4fyM7SkRa4ySgt9jpaEiTzLOROX6CrGn4QIRvUCLRQtmCJqib43W4d7GKcALQ4u-nYaG99jX2PA7dRVEHAcfD9C7_wUsRsae2C3roPRd4Chtxhi9KaB0VkcwDZmav0A43Z3jS5qaKO7mfMKfb2-bJ7fs_Xn28fz0zoznPEx00YoXcla1IrllmhQppBUV8KAElzxmlTpm9Y6Kp2VVtaS2AKooELIPcdW6P44dwj-d3JxLLsmGte2x1eXUvA8L2SRQHUETfAxBleXQ2g6CLuSknJvtvw3W57MlgezqfV23jFVnbOnxlllqt_NdYgG2jpAb5p4wphmTGjF_gDHqYGb</recordid><startdate>1994</startdate><enddate>1994</enddate><creator>KINGERY, W. 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P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The natural resolution of a lumbar spontaneous epidural hematoma and associated radiculopathy</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>1994</date><risdate>1994</risdate><volume>19</volume><issue>1</issue><spage>67</spage><epage>69</epage><pages>67-69</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>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.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>8153808</pmid><doi>10.1097/00007632-199401000-00014</doi><tpages>3</tpages></addata></record> |
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| ispartof | Spine (Philadelphia, Pa. 1976), 1994, Vol.19 (1), p.67-69 |
| issn | 0362-2436 1528-1159 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Back Pain - etiology Biological and medical sciences Diseases of the osteoarticular system Diseases of the spine Hematoma, Epidural, Cranial - complications Hematoma, Epidural, Cranial - diagnosis Hematoma, Epidural, Cranial - physiopathology Humans Lumbosacral Region Magnetic Resonance Imaging Male Medical sciences Peripheral Nervous System Diseases - diagnosis Peripheral Nervous System Diseases - etiology Peripheral Nervous System Diseases - physiopathology Remission, Spontaneous Spinal Cord Compression - etiology Spinal Cord Compression - physiopathology Spinal Nerve Roots |
| title | The natural resolution of a lumbar spontaneous epidural hematoma and associated radiculopathy |
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