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Spinal epidural hematoma

MedGen UID:
163754
•Concept ID:
C0877172
•
Pathologic Function
Synonyms: Epidural Hematoma, Spinal; Epidural Hematomas, Spinal; Epidural Hemorrhage, Spinal; Epidural Hemorrhages, Spinal; Hematoma, Epidural, Spinal; Hematoma, Spinal Epidural; Hematomas, Spinal Epidural; Hemorrhage, Spinal Epidural; Hemorrhages, Spinal Epidural; Spinal Epidural Hematoma; Spinal Epidural Hematomas; Spinal Epidural Hemorrhage; Spinal Epidural Hemorrhages
SNOMED CT: Epidural hematoma (703861005); Spinal epidural hematoma (703861005); Spinal extradural hematoma (703861005)

Definition

A collection of blood into the space between the dura mater and the skull. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVSpinal epidural hematoma

Professional guidelines

PubMed

The Society for Obstetric Anesthesia and Perinatology Interdisciplinary Consensus Statement on Neuraxial Procedures in Obstetric Patients With Thrombocytopenia.
Bauer ME, Arendt K, Beilin Y, Gernsheimer T, Perez Botero J, James AH, Yaghmour E, Toledano RD, Turrentine M, Houle T, MacEachern M, Madden H, Rajasekhar A, Segal S, Wu C, Cooper JP, Landau R, Leffert L
Anesth Analg 2021 Jun 1;132(6):1531-1544. doi: 10.1213/ANE.0000000000005355. PMID: 33861047
Spinal Emergencies in Primary Care Practice.
Babu JM, Patel SA, Palumbo MA, Daniels AH
Am J Med 2019 Mar;132(3):300-306. Epub 2018 Oct 3 doi: 10.1016/j.amjmed.2018.09.022. PMID: 30291829
The Society for Obstetric Anesthesia and Perinatology Consensus Statement on the Anesthetic Management of Pregnant and Postpartum Women Receiving Thromboprophylaxis or Higher Dose Anticoagulants.
Leffert L, Butwick A, Carvalho B, Arendt K, Bates SM, Friedman A, Horlocker T, Houle T, Landau R, Dubois H, Fernando R, Houle T, Kopp S, Montgomery D, Pellegrini J, Smiley R, Toledo P; members of the SOAP VTE Taskforce
Anesth Analg 2018 Mar;126(3):928-944. doi: 10.1213/ANE.0000000000002530. PMID: 29099429

Recent clinical studies

Etiology

Postoperative Epidural Hematoma.
Djurasovic M, Campion C, Dimar JR 2nd, Glassman SD, Gum JL
Orthop Clin North Am 2022 Jan;53(1):113-121. Epub 2021 Oct 28 doi: 10.1016/j.ocl.2021.08.006. PMID: 34799017
Evaluation and Management of Cauda Equina Syndrome.
Kuris EO, McDonald CL, Palumbo MA, Daniels AH
Am J Med 2021 Dec;134(12):1483-1489. Epub 2021 Aug 30 doi: 10.1016/j.amjmed.2021.07.021. PMID: 34473966
The Society for Obstetric Anesthesia and Perinatology Interdisciplinary Consensus Statement on Neuraxial Procedures in Obstetric Patients With Thrombocytopenia.
Bauer ME, Arendt K, Beilin Y, Gernsheimer T, Perez Botero J, James AH, Yaghmour E, Toledano RD, Turrentine M, Houle T, MacEachern M, Madden H, Rajasekhar A, Segal S, Wu C, Cooper JP, Landau R, Leffert L
Anesth Analg 2021 Jun 1;132(6):1531-1544. doi: 10.1213/ANE.0000000000005355. PMID: 33861047
The Society for Obstetric Anesthesia and Perinatology Consensus Statement on the Anesthetic Management of Pregnant and Postpartum Women Receiving Thromboprophylaxis or Higher Dose Anticoagulants.
Leffert L, Butwick A, Carvalho B, Arendt K, Bates SM, Friedman A, Horlocker T, Houle T, Landau R, Dubois H, Fernando R, Houle T, Kopp S, Montgomery D, Pellegrini J, Smiley R, Toledo P; members of the SOAP VTE Taskforce
Anesth Analg 2018 Mar;126(3):928-944. doi: 10.1213/ANE.0000000000002530. PMID: 29099429
Spinal epidural hematoma.
Al-Mutair A, Bednar DA
J Am Acad Orthop Surg 2010 Aug;18(8):494-502. doi: 10.5435/00124635-201008000-00006. PMID: 20675642

Diagnosis

Prognosis and outcome of chronic pain after spontaneous spinal epidural hematoma.
Luo M, He M, Wu C
Acta Neurol Belg 2023 Oct;123(5):1849-1854. Epub 2022 Sep 14 doi: 10.1007/s13760-022-02092-y. PMID: 36103086
Postoperative Epidural Hematoma.
Djurasovic M, Campion C, Dimar JR 2nd, Glassman SD, Gum JL
Orthop Clin North Am 2022 Jan;53(1):113-121. Epub 2021 Oct 28 doi: 10.1016/j.ocl.2021.08.006. PMID: 34799017
Evaluation and Management of Cauda Equina Syndrome.
Kuris EO, McDonald CL, Palumbo MA, Daniels AH
Am J Med 2021 Dec;134(12):1483-1489. Epub 2021 Aug 30 doi: 10.1016/j.amjmed.2021.07.021. PMID: 34473966
The Society for Obstetric Anesthesia and Perinatology Interdisciplinary Consensus Statement on Neuraxial Procedures in Obstetric Patients With Thrombocytopenia.
Bauer ME, Arendt K, Beilin Y, Gernsheimer T, Perez Botero J, James AH, Yaghmour E, Toledano RD, Turrentine M, Houle T, MacEachern M, Madden H, Rajasekhar A, Segal S, Wu C, Cooper JP, Landau R, Leffert L
Anesth Analg 2021 Jun 1;132(6):1531-1544. doi: 10.1213/ANE.0000000000005355. PMID: 33861047
Spinal epidural hematoma.
Al-Mutair A, Bednar DA
J Am Acad Orthop Surg 2010 Aug;18(8):494-502. doi: 10.5435/00124635-201008000-00006. PMID: 20675642

Therapy

Incidence of postoperative symptomatic spinal epidural hematoma requiring surgical evacuation: a systematic review and meta-analysis.
Chen Q, Zhong X, Liu W, Wong C, He Q, Chen Y
Eur Spine J 2022 Dec;31(12):3274-3285. Epub 2022 Oct 19 doi: 10.1007/s00586-022-07421-6. PMID: 36260132
A series of post-traumatic midline epidural hematoma and review of the literature.
Güçlü DG, Öztürk O, Çırak M, Can H, Ünal TC, Dolaş İ, Özgen U, Aydoseli A, Sencer A
Ulus Travma Acil Cerrahi Derg 2022 Jun;28(6):805-811. doi: 10.14744/tjtes.2020.28182. PMID: 35652865Free PMC Article
Cervical Epidural Steroid Injection: Techniques and Evidence.
House LM, Barrette K, Mattie R, McCormick ZL
Phys Med Rehabil Clin N Am 2018 Feb;29(1):1-17. Epub 2017 Oct 16 doi: 10.1016/j.pmr.2017.08.001. PMID: 29173656
The Society for Obstetric Anesthesia and Perinatology Consensus Statement on the Anesthetic Management of Pregnant and Postpartum Women Receiving Thromboprophylaxis or Higher Dose Anticoagulants.
Leffert L, Butwick A, Carvalho B, Arendt K, Bates SM, Friedman A, Horlocker T, Houle T, Landau R, Dubois H, Fernando R, Houle T, Kopp S, Montgomery D, Pellegrini J, Smiley R, Toledo P; members of the SOAP VTE Taskforce
Anesth Analg 2018 Mar;126(3):928-944. doi: 10.1213/ANE.0000000000002530. PMID: 29099429
Spinal Epidural Hematoma.
Patel S, Gupta P, Agrawal C, Ranjan R
J Assoc Physicians India 2016 Feb;64(2):63. PMID: 27730783

Prognosis

Prognosis and outcome of chronic pain after spontaneous spinal epidural hematoma.
Luo M, He M, Wu C
Acta Neurol Belg 2023 Oct;123(5):1849-1854. Epub 2022 Sep 14 doi: 10.1007/s13760-022-02092-y. PMID: 36103086
Incidence of postoperative symptomatic spinal epidural hematoma requiring surgical evacuation: a systematic review and meta-analysis.
Chen Q, Zhong X, Liu W, Wong C, He Q, Chen Y
Eur Spine J 2022 Dec;31(12):3274-3285. Epub 2022 Oct 19 doi: 10.1007/s00586-022-07421-6. PMID: 36260132
Postoperative Epidural Hematoma.
Djurasovic M, Campion C, Dimar JR 2nd, Glassman SD, Gum JL
Orthop Clin North Am 2022 Jan;53(1):113-121. Epub 2021 Oct 28 doi: 10.1016/j.ocl.2021.08.006. PMID: 34799017
Spinal Cord Hemorrhage.
Shaban A, Moritani T, Al Kasab S, Sheharyar A, Limaye KS, Adams HP Jr
J Stroke Cerebrovasc Dis 2018 Jun;27(6):1435-1446. Epub 2018 Mar 16 doi: 10.1016/j.jstrokecerebrovasdis.2018.02.014. PMID: 29555403
Prognosis after spinal cord and cauda compression in spontaneous spinal epidural hematomas.
Bakker NA, Veeger NJ, Vergeer RA, Groen RJ
Neurology 2015 May 5;84(18):1894-903. Epub 2015 Apr 10 doi: 10.1212/WNL.0000000000001545. PMID: 25862799

Clinical prediction guides

Prognosis and outcome of chronic pain after spontaneous spinal epidural hematoma.
Luo M, He M, Wu C
Acta Neurol Belg 2023 Oct;123(5):1849-1854. Epub 2022 Sep 14 doi: 10.1007/s13760-022-02092-y. PMID: 36103086
A series of post-traumatic midline epidural hematoma and review of the literature.
Güçlü DG, Öztürk O, Çırak M, Can H, Ünal TC, Dolaş İ, Özgen U, Aydoseli A, Sencer A
Ulus Travma Acil Cerrahi Derg 2022 Jun;28(6):805-811. doi: 10.14744/tjtes.2020.28182. PMID: 35652865Free PMC Article
Treatment of spontaneous spinal epidural hematoma in children: analysis of 25 cases.
Sun P, Yu J, Liu Y, Zhou M, Liu Y, Du J, Zhi X, Zeng G
Childs Nerv Syst 2022 Aug;38(8):1557-1566. Epub 2022 May 30 doi: 10.1007/s00381-022-05459-x. PMID: 35635570
Spinal cord injury and spinal fracture in patients with ankylosing spondylitis.
Tu PH, Liu ZH, Yeap MC, Liu YT, Li YC, Huang YC, Lin TM, Chen CC
BMC Emerg Med 2022 May 2;22(1):73. doi: 10.1186/s12873-022-00635-3. PMID: 35501709Free PMC Article
Prognosis after spinal cord and cauda compression in spontaneous spinal epidural hematomas.
Bakker NA, Veeger NJ, Vergeer RA, Groen RJ
Neurology 2015 May 5;84(18):1894-903. Epub 2015 Apr 10 doi: 10.1212/WNL.0000000000001545. PMID: 25862799

Recent systematic reviews

Incidence of postoperative symptomatic spinal epidural hematoma requiring surgical evacuation: a systematic review and meta-analysis.
Chen Q, Zhong X, Liu W, Wong C, He Q, Chen Y
Eur Spine J 2022 Dec;31(12):3274-3285. Epub 2022 Oct 19 doi: 10.1007/s00586-022-07421-6. PMID: 36260132
Spontaneous Spinal Epidural Hematomas in Pregnancy: A Systematic Review.
Soltani S, Nogaro MC, Jacqueline Kieser SC, Wyatt MC, Kieser DC
World Neurosurg 2019 Aug;128:254-258. Epub 2019 May 16 doi: 10.1016/j.wneu.2019.05.050. PMID: 31102771
A systematic review and meta-analysis of wound drains in non-instrumented lumbar decompression surgery.
Davidoff CL, Rogers JM, Simons M, Davidson AS
J Clin Neurosci 2018 Jul;53:55-61. Epub 2018 Apr 19 doi: 10.1016/j.jocn.2018.04.038. PMID: 29680443
Benefits and risks of epidural analgesia in cardiac surgery.
Landoni G, Isella F, Greco M, Zangrillo A, Royse CF
Br J Anaesth 2015 Jul;115(1):25-32. doi: 10.1093/bja/aev201. PMID: 26089444
Postoperative spinal epidural hematoma: a systematic review.
Glotzbecker MP, Bono CM, Wood KB, Harris MB
Spine (Phila Pa 1976) 2010 May 1;35(10):E413-20. doi: 10.1097/BRS.0b013e3181d9bb77. PMID: 20431474

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