Spontaneous lumbo-sacral epidural hematoma presenting as Cauda Equina syndrome: a case report

Authors

  • Mohammad Sarwar Department of Neurosurgery, Medica Institute of Neurological Diseases, Medica Superspecialty Hospital, Kolkata, West Bengal, India
  • Laxminarayan Tripathy Department of Neurosurgery, Medica Institute of Neurological Diseases, Medica Superspecialty Hospital, Kolkata, West Bengal, India
  • Kalyanbrata Bhattacharyya Department of Neurosurgery, Medica Institute of Neurological Diseases, Medica Superspecialty Hospital, Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20213102

Keywords:

Spontaneous spinal epidural hematoma, Cauda equina syndrome, Lumbo-sacral hematoma

Abstract

Spinal epidural hematoma (SEH) is a rare condition and it accounts for less than 1% of all spinal canal space occupying conditions. Spontaneous SEH most commonly occurs in the cervical and thoracic regions. They present with neck or back pain with radiculopathy and/ or myelopathy. Early surgical decompression is the recommended treatment in the presence of progressive neurological deficits. Spontaneous SEH (SSEH) presenting as Cauda Equina syndrome (CES) are rarely reported in the literature. We present a case of SSEH presenting late with CES. Due to delay in presentation and multiple co-morbidities, patient was treated conservatively.

Author Biographies

Mohammad Sarwar, Department of Neurosurgery, Medica Institute of Neurological Diseases, Medica Superspecialty Hospital, Kolkata, West Bengal, India

Resident,DNB Neurosurgery

Laxminarayan Tripathy, Department of Neurosurgery, Medica Institute of Neurological Diseases, Medica Superspecialty Hospital, Kolkata, West Bengal, India

Director, Medica Institute of Neurological Diseases, Medica Superspecialty Hospital

Kalyanbrata Bhattacharyya, Department of Neurosurgery, Medica Institute of Neurological Diseases, Medica Superspecialty Hospital, Kolkata, West Bengal, India

Senior Consultant, Neurology

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Published

2021-07-28

How to Cite

Sarwar, M., Tripathy, L., & Bhattacharyya, K. (2021). Spontaneous lumbo-sacral epidural hematoma presenting as Cauda Equina syndrome: a case report. International Journal of Research in Medical Sciences, 9(8), 2475–2477. https://doi.org/10.18203/2320-6012.ijrms20213102

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Section

Case Reports