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J Trauma Inj > Volume 29(4); 2016 > Article
Journal of Trauma and Injury 2016;29(4):176-179.
DOI: https://doi.org/10.20408/jti.2016.29.4.176    Published online December 31, 2016.
Delayed Posttraumatic Spinal Epidural Hematoma: Importance of Early Surgical Treatment for Neurologic Deficits
Deok Heon Lee, Tak Hyuk Oh, Jong Chul Lee, Kyoung Hoon Lim
1Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Daegu, Korea. ldhms@naver.com
2Department of Orthopedic Surgery, Kyungpook National University Hospital, Daegu, Korea.
3Department of Surgery, Kyungpook National University Hospital, Daegu, Korea.
Received: 14 November 2016   • Revised: 14 November 2016   • Accepted: 30 December 2016
Delayed posttraumatic spinal epidural hematoma is an extremely rare disease, and it remains a challenge for surgical teams of trauma centers. Magnetic resonance imaging is an essential tool for early diagnosis, and emergent evacuation of the hematoma is the best choice of treatment. We report the case of a 33-year old man with posttraumatic epidural hematoma in the thoracic spine (T10 and T11 levels), who developed an abrupt-onset paraplegia 5 days after the trauma.
Key Words: Trauma; Spinal cord; Paraplegia


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