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THE NATURAL RESOLUTION OF A LUMBAR SPONTANEOUS EPIDURAL HEMATOMA AND ASSOCIATED RADICULOPATHY SPINE Kingery, W. S., Seibel, M., Date, E. S., Marks, M. P. 1994; 19 (1): 67-69

Abstract

This is a report of a 37-year-old man who, while lifting a heavy box, developed severe low-back pain radiating into the right anterior thigh. The only clinical signs were paraspinal muscle spasm and a positive femoral nerve stretch test on the right. An electromyographic study demonstrated denervation in the right L2, L3, and L4 myotomes and paraspinal muscles. Magnetic resonance imaging (MRI) showed a large L1-2 anterior epidural hematoma compressing the spinal cord. The patient's pain gradually improved with conservative management and he returned to light work after 4 weeks. Repeat electromyographic and MRI studies were normal, indicating a resolution of the radiculopathy and hematoma. The diagnosis and management of spontaneous epidural hematomas are discussed.

View details for Web of Science ID A1994MT13500015

View details for PubMedID 8153808