Acute spontaneous thoracic epidural hematoma associated with intraspinal lymphangioma: A case report

Spontaneous spinal epidural hematoma is a rare neurosurgical emergency. A 53-year-old healthy woman suffered from complete paraplegia in both legs and loss of all sensation below the xiphoid process. She was diagnosed as acute spontaneous thoracic epidural hematoma caused by an intraspinal lymphangi...

Full description

Saved in:
Bibliographic Details
Published inWorld journal of clinical cases Vol. 9; no. 14; pp. 3411 - 3417
Main Authors Chia, Kai-Jay, Lin, Li-Han, Sung, Ming-Tse, Su, Tsung-Ming, Huang, Jin-Fu, Lee, Hsiang-Lin, Sung, Wen-Wei, Lee, Tsung-Han
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 16.05.2021
Subjects
Case Report
Intraspinal
Case report
Paraplegia
Decompressive laminectomy
Epidural hematoma
Lymphangioma
Online AccessGet full text

Cover

More Information
Summary:Spontaneous spinal epidural hematoma is a rare neurosurgical emergency. A 53-year-old healthy woman suffered from complete paraplegia in both legs and loss of all sensation below the xiphoid process. She was diagnosed as acute spontaneous thoracic epidural hematoma caused by an intraspinal lymphangioma. The primary lab survey showed all within normal limits. Presence of a posteriorly epidural space-occupying lesion at the T4-T8 level of the spinal canal was confirmed on magnetic resonance imaging. A decompressive laminectomy was performed from the T4 to T7 levels at the sixth hour following abrupt onset of complete paraplegia. The lesion was confirmed as lymphangioma. This patient recovered well within one month. This study reports a case of acute spontaneous thoracic epidural hematoma caused by an intraspinal lymphangioma with well recovery after surgical intervention.
Bibliography:Author contributions: Chia KJ and Lee TH played a major role in the acquisition of data; Lin LH, Sung MT, Su TM, Huang JF and Lee HL interpreted the patient data; Chia KJ and Lee TH contributed in writing the manuscript; Lin LH, Sung MT, Sung WW and Lee TH revised the manuscript for intellectual content; all authors read and approved the final manuscript.
Corresponding author: Tsung-Han Lee, MD, PhD, Neurosurgeon, Division of Neurosurgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, No. 123 Dapi Road, Niaosong District, Kaohsiung 83301, Taiwan. tsunghan927@gmail.com
ISSN:2307-8960
2307-8960
DOI:10.12998/wjcc.v9.i14.3411