Menu
Menu
19 Harley St, London, W1G 9QJ, UK

Acute non-traumatic idiopathic spinal subdural hematoma: radiographic findings and surgical outcomes with a literature assessment.

Related Articles

Acute non-traumatic idiopathic spinal subdural hematoma: radiographic findings and surgical outcomes with a literature assessment.

Eur Backbone J. 2017 Nov;26(11):2739-2743

Authors: Kobayashi Okay, Imagama S, Ando Okay, Nishida Y, Ishiguro N

Summary
PURPOSE: Intraspinal hematoma is a critical situation, and early analysis is important to allow emergency therapy. Amongst such hematomas, non-traumatic spinal subdural hematoma is a uncommon prevalence. Now we have skilled three sufferers with surgically confirmed subdural spinal hematoma, and right here we report these instances with a assessment of their scientific and imaging traits.
METHODS: All three instances had been idiopathic with no historical past of illness, no coagulopathy, and no trauma. All had acute onset that led to paralysis of the decrease limbs with extreme ache. Early surgical procedure was carried out, based mostly on a comparatively early analysis utilizing thoracolumbar MRI and CT.
RESULTS: Because the epidural fats will not be affected by bleeding, the conventional construction stays and the boundary between hematoma and fats is a major function in MRI and CT. Partial Gd enhancement in MRI and ring enhancement in distinction CT had been additionally obvious. Two of the instances had subarachnoid hematomas.
CONCLUSIONS: Preoperative analysis of spinal subarachnoid hematoma is tough as a result of there are not any particular radiological findings and affirmation can solely happen intraoperatively. Particularly, one case had an enormous hematoma inflicting canal stenosis, and it was tough to differentiate between intradural and extradural hematoma. In all instances of subarachnoid or subdural hematoma, decompression was carried out inside 24 h after onset, and consequently, the sufferers had comparatively good outcomes.

PMID: 28361365 [PubMed – indexed for MEDLINE]

Related Articles Acute non-traumatic idiopathic spinal subdural hematoma: radiographic findings and surgical results with a literature review. Eur Spine J. 2017 Nov;26(11):2739-2743 Authors: Kobayashi K, Imagama S,...

What our patients say ...

Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Anaesthetist

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

Laser Spine Surgery Articles

SHADES of grey – The challenge of ‘grumbling’ cauda equina symptoms in older adults with lumbar spinal stenosis.
Abstract Diagnosing cauda equina syndrome is challenging in older adults with lumbar spinal stenosis. Understanding these challenges is vital for
Read more.
The influence of preoperative mental health on clinical outcomes after laminectomy in patients with lumbar spinal stenosis.
Abstract OBJECTIVE: The influence of preoperative mental health on health-related quality of life (HRQOL) in patients with lumbar spinal stenosis
Read more.
MicroRNA transcriptome analysis on hypertrophy of ligamentum flavum in patients with lumbar spinal stenosis.
Abstract Introduction: Molecular pathways involved in ligamentum flavum (LF) hypertrophy are still unclarified. The purpose of this study was to
Read more.
Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical Note.
Abstract Introduction: Failed spinal fusion surgery sometimes requires salvage surgery when symptomatic, especially with postsurgical decrease in intervertebral disc height
Read more.
Integrated anatomy of the neuromuscular, visceral, vascular, and urinary tissues determined by MRI for a surgical approach to lateral lumbar
Abstract Introduction: To comprehensively investigate the anatomy of the neuromuscular, visceral, vascular, and urinary tissues and their general influence on
Read more.
Clinical Outcomes of Treating Cervical Adjacent Segment Disease by Anterior Cervical Discectomy and Fusion Versus Total Disc Replacement: A Systematic
Related Articles Clinical Outcomes of Treating Cervical Adjacent Segment Disease by Anterior Cervical Discectomy and Fusion Versus Total Disc Replacement:
Read more.

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810