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Journal article
Spontaneous spinal epidural hematoma in the setting of uncontrolled hypertension and hypertensive emergency
Interdisciplinary neurosurgery : Advanced techniques and case management, v 26, 101292
Dec 2021
Abstract
•Spontaneous spinal epidural hematoma (SSEH) can mimic stroke.•SSEH can occur in hypertensive emergency and uncontrolled hypertension.•SSEH requires rapid diagnosis and emergent surgical treatment.
Spontaneous spinal epidural hematoma (SSEH) is a neurological condition that can lead to severe deficits if it is not properly diagnosed and surgically evacuated. Due to the rarity of the disease, few cases have been reported, and the etiology poorly understood; however, identifying the risk factors associated with SSEH can allow for both a swift and accurate diagnosis, as well as better health outcomes. Here, we present two cases of SSEH with stroke-like symptoms that occurred in the setting of hypertensive emergency and uncontrolled hypertension (210/112 and 181/117, respectively). MRI confirmed diagnoses of SSEH, and subsequent hemilaminectomies were performed, resulting in significant improvement of neurological function and discharge to outpatient rehabilitation. To the best of the authors’ knowledge, we could only identify few other reports of SSEH attributed to uncontrolled hypertension. Considering that SSEH is an emergent condition requiring rapid diagnosis and surgical treatment, physicians should consider SSEH as a possible differential in hypertensive patients, particularly when presenting with stroke-like symptoms.
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Details
- Title
- Spontaneous spinal epidural hematoma in the setting of uncontrolled hypertension and hypertensive emergency
- Creators
- Abhijith Bathini - Drexel UniversityAnwesha Dubey - University of California, Los AngelesShyle H. Mehta - Drexel UniversityAhmad Mohammad Kassem - David Geffen School of Medicine, University of California, 10833 Le Conte Ave, Los Angeles, CA 90095, United StatesMohanad Sulaiman - Neurosciences InstituteZakaria Hakma - Neurosciences Institute
- Publication Details
- Interdisciplinary neurosurgery : Advanced techniques and case management, v 26, 101292
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurology
- Web of Science ID
- WOS:000709269600014
- Scopus ID
- 2-s2.0-85109560869
- Other Identifier
- 991019167410704721
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology