Spinal Epidural Hematoma Caused by Pure Epidural Spinal Arteriovenous Malformation: Case Report and Literature Review
Spontaneous spinal epidural hematoma (SEH) represents an extremely rare cause of spinal cord compression. Symptomatic pure extradural spinal AVMs (E-sAVM), in the absence of cavernous hemangiomas, are very rare and have rarely been reported. The clinical presentation of SEH caused by E-sAVM is often...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2024-08-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1776360 |
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| author | Elisa Garbin Nicola Cavasin Salima Magrini |
| author_facet | Elisa Garbin Nicola Cavasin Salima Magrini |
| author_sort | Elisa Garbin |
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| description | Spontaneous spinal epidural hematoma (SEH) represents an extremely rare cause of spinal cord compression. Symptomatic pure extradural spinal AVMs (E-sAVM), in the absence of cavernous hemangiomas, are very rare and have rarely been reported. The clinical presentation of SEH caused by E-sAVM is often nonspecific and may lead to delayed diagnosis and treatment. We report the case of a 16-year-old adolescent girl who presented with paraparesis that rapidly evolved in paraplegia. Emergent magnetic resonance imaging (MRI) of the whole spine showed a posterior SEH, extending from C7 to T2, highly suspicious for the presence of an underlying AVM. The patient underwent emergent C7–T2 laminoplasty. An E-sAVM was intraoperatively found and subsequently excised. The patient was discharged with no neurological defects. E-sAVMs are extremely rare pathologies; they represent an extremely rare cause of spinal cord compression. If immediately diagnosed and treated, most patients recover with good prognosis. |
| format | Article |
| id | doaj-art-9d2d31155948461f99b4ed54a0ddfd5b |
| institution | DOAJ |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
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| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-9d2d31155948461f99b4ed54a0ddfd5b2025-08-20T03:19:46ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672024-08-01130216316610.1055/s-0043-1776360Spinal Epidural Hematoma Caused by Pure Epidural Spinal Arteriovenous Malformation: Case Report and Literature ReviewElisa Garbin0https://orcid.org/0009-0009-8769-3922Nicola Cavasin1Salima Magrini2Academic Neurosurgery, Department of Neurosciences, University of Padova, Padova, ItalyDepartment of Neurosciences, Ospedale dell'Angelo, Mestre, VE, ItalyDepartment of Neurosciences, Ospedale dell'Angelo, Mestre, VE, ItalySpontaneous spinal epidural hematoma (SEH) represents an extremely rare cause of spinal cord compression. Symptomatic pure extradural spinal AVMs (E-sAVM), in the absence of cavernous hemangiomas, are very rare and have rarely been reported. The clinical presentation of SEH caused by E-sAVM is often nonspecific and may lead to delayed diagnosis and treatment. We report the case of a 16-year-old adolescent girl who presented with paraparesis that rapidly evolved in paraplegia. Emergent magnetic resonance imaging (MRI) of the whole spine showed a posterior SEH, extending from C7 to T2, highly suspicious for the presence of an underlying AVM. The patient underwent emergent C7–T2 laminoplasty. An E-sAVM was intraoperatively found and subsequently excised. The patient was discharged with no neurological defects. E-sAVMs are extremely rare pathologies; they represent an extremely rare cause of spinal cord compression. If immediately diagnosed and treated, most patients recover with good prognosis.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1776360epidural spinal hematomaspinal epidural vascular malformationspinal digital subtraction angiography |
| spellingShingle | Elisa Garbin Nicola Cavasin Salima Magrini Spinal Epidural Hematoma Caused by Pure Epidural Spinal Arteriovenous Malformation: Case Report and Literature Review Indian Journal of Neurosurgery epidural spinal hematoma spinal epidural vascular malformation spinal digital subtraction angiography |
| title | Spinal Epidural Hematoma Caused by Pure Epidural Spinal Arteriovenous Malformation: Case Report and Literature Review |
| title_full | Spinal Epidural Hematoma Caused by Pure Epidural Spinal Arteriovenous Malformation: Case Report and Literature Review |
| title_fullStr | Spinal Epidural Hematoma Caused by Pure Epidural Spinal Arteriovenous Malformation: Case Report and Literature Review |
| title_full_unstemmed | Spinal Epidural Hematoma Caused by Pure Epidural Spinal Arteriovenous Malformation: Case Report and Literature Review |
| title_short | Spinal Epidural Hematoma Caused by Pure Epidural Spinal Arteriovenous Malformation: Case Report and Literature Review |
| title_sort | spinal epidural hematoma caused by pure epidural spinal arteriovenous malformation case report and literature review |
| topic | epidural spinal hematoma spinal epidural vascular malformation spinal digital subtraction angiography |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1776360 |
| work_keys_str_mv | AT elisagarbin spinalepiduralhematomacausedbypureepiduralspinalarteriovenousmalformationcasereportandliteraturereview AT nicolacavasin spinalepiduralhematomacausedbypureepiduralspinalarteriovenousmalformationcasereportandliteraturereview AT salimamagrini spinalepiduralhematomacausedbypureepiduralspinalarteriovenousmalformationcasereportandliteraturereview |