Acute hematoma epidural spinal. Medical search. Frequent questions

Spondylodiscitis or spinal epidural abscess respectively is a rare affection in adult population. (amedi.sk)
Surgery is required to remove the abscess or the hematoma. (eurospinepatientline.org)
First case illustrated diagnostic and management challenges in a patient with septic endocarditis and spinal epidural abscess who developed an ICH on antithrombotic treatment. (eso-stroke.org)
Vertebral osteomyelitis, discitis or haematogenous spread of infection can lead to an epidural abscess. (patient.info)
Contrast-enhanced magnetic resonance imaging (MRI) of the lumbar region was performed on November 18, 2012, and showed an enhancing epidural abscess, spanning T12-S2. (cdc.gov)
Lumbar MRI on February 1, 2013, showed improvement of the lumbar epidural abscess. (cdc.gov)

Spinal epidural hematoma after neuraxial anesthesia is exceedingly rare. (medscape.com)
Although parturients, a cohort of patients that often receives neuraxial anesthesia, are generally in a hypercoagulable state, certain conditions of pregnancy (eg, gestational thrombocytopenia, HELLP [hemolysis, elevated liver enzymes, low platelets] syndrome, and complications of preeclampsia) can increase the incidence of epidural hematoma. (medscape.com)
She had undergone a caesarean section under epidural anesthesia 4 days prior to her arrival in the ED. She was placed on heparin and then warfarin to treat a pulmonary embolism that was diagnosed immediately postpartum. (surgicalneurologyint.com)
A 38-year-old woman who had recently undergone epidural spinal anesthesia for a caesarean section 4 days prior presented to the emergency department (ED) of our institute complaining of severe neck and low back pain. (surgicalneurologyint.com)
Background and Aims Spinal hematomas after neuraxial anesthesia can have devastating consequences. (bmj.com)
Surgery was performed under general anesthesia and a thoracic epidural block, and the epidural catheter was used for postoperative analgesia. (bmj.com)
Epidural or spinal hematomas may occur in patients who are anticoagulated with low molecular weight heparins (LMWH), heparinoids, or fondaparinux sodium and are receiving neuraxial anesthesia or undergoing spinal puncture. (rxlist.com)
The American Society of Regional Anesthesia and Pain Medicine is dedicated to recognizing gender-based disparities, establishing policies, committing resources, and collaborating to improve the conditions for women in the professions of acute and chronic pain and regional anesthesia. (asra.com)
The most common cause of epidural hematoma is traumatic, although spontaneous hemorrhage is known to occur or as a rare complication of anesthesia (such as epidural anesthesia) or surgery (such as laminectomy). (sch.ac.kr)
Case Report: While under general anesthesia combined with thoracic epidural anesthesia, a 72-year-old male patient underwent right radical nephrectomy for renal cell carcinoma. (elsevierpure.com)

On the third postoperative day, back pain and lower limb weakness prompted a spinal MRI, which revealed a T6-T8 epidural hematoma ( Figure 1 ). (bmj.com)
The postoperative course was also remarkable for euglycemic diabetic ketoacidosis, acidemia may have contributed to impaired epidural hemostasis. (bmj.com)
Other etiologies include trauma, seeding of an existing subdural hematoma , or postoperative infection. (logicalimages.com)
Objective: Rare disease Background: It is still challenging to remove an epidural catheter in a postoperative patient receiving urgent antiplatelet and anticoagulation therapy for acute coronary syndrome. (elsevierpure.com)
On postoperative day 1 (POD1), the patient experienced bradycardia and a decrease in blood pressure, and he was diagnosed acute myocardial infarction. (elsevierpure.com)

Hemorrhage affecting the spinal cord is rare. (medscape.com)
Spinal cord hemorrhage can be divided based on etiology, into two types: (1) traumatic and (2) non-traumatic. (medscape.com)
It can also be divided based on the compartment into which the hemorrhage occurs, namely: (1) intramedullary (including hematomyelia), (2) subarachnoid (SAH), (3) subdural (SDH), and/or (4) epidural (EDH). (medscape.com)
[ 1 ] Spinal cord hemorrhage is most commonly caused by trauma, vascular malformations, or bleeding diatheses. (medscape.com)
Spinal cord hemorrhage usually presents as sudden, painful myelopathy, which may reflect the anatomic level of the hemorrhage. (medscape.com)
The most common cause of spinal cord hemorrhage is traumatic injury. (medscape.com)
With trauma, shear forces acting upon the spinal cord and surrounding structures may lead to hemorrhage and vascular damage. (medscape.com)
Hematomyelia is defined as the presence of a well-defined focus of hemorrhage within the spinal cord itself. (medscape.com)
Summary of intramedullary spinal cord hemorrhage etiologies, with history and associated clues, common imaging findings, and representative management. (medscape.com)
Axial CT scan that demonstrates a large vertex, bifrontoparietal epidural hemorrhage (EDH). (medscape.com)
Coronal CT scan reconstruction that further clarifies the thickness and mass effect associated with this vertex epidural hemorrhage (EDH). (medscape.com)
Sagittal CT scan reconstruction that further defines the anterior-posterior extent of the vertex epidural hemorrhage (EDH). (medscape.com)
Often unique radiologic signs can be used to distinguish these types of spinal hemorrhage. (caserepclinradiol.org)

Post-traumatic, iatrogenic or spontaneous spinal hematomas (epidural and/or subdural) are rare and have different pathophysiological causes. (surgicalneurologyint.com)
Current research is also focusing on neural prostheses and stem cell therapy in traumatic spinal cord injuries. (eurospinepatientline.org)
Traumatic spinal cord injuries (TSCIs) affect up to 500,000 people worldwide each year, and their high morbidity is associated with substantial individual and societal burden and socioeconomic impact 1) 2) . (neurosurgery.directory)
Global prevalence and incidence of traumatic spinal cord injury. (neurosurgery.directory)
The burden of acute traumatic spinal cord injury among adults in the United States: an update. (neurosurgery.directory)
No national database exists to record all spinal cord syndromes resulting from traumatic and nontraumatic etiologies. (medscape.com)

It is a specific requirement by the end of the PGY 4 year, that the resident is able to recognize, manage and resolve absolute neurosurgical emergencies, such as epidural/subdural hematomas, ICH, acute hydrocephalus, or perform spinal decompression for cauda equina, all with minimal supervision. (umc.edu)
Decompression surgery surgery (removal of any compression of the spinal cord from the infection) in patients with epidural abscesses is most effective if done before the onset of severe weakness. (eurospinepatientline.org)
He also performs spinal cord stimulation and microvascular decompression for chronic pain syndromes and trigeminal neuralgia. (superdoctors.com)
It is still discussed whether minimal-invasive decompression procedures are sufficient and if they compromise spinal stability as well. (neurosurgery.directory)
Decompression of lumbar spinal stenosis without fusion led to a significant and similar reduction of back pain and leg pain in a short-term and a long-term follow-up group. (neurosurgery.directory)

Iatrogenic or spontaneous spinal hematomas are rarely seen and present with multiple symptoms that can be difficult to localize. (surgicalneurologyint.com)
Most spontaneous spinal hematomas are multifactorial, and the pathophysiology is varied. (surgicalneurologyint.com)
Shanmuga Jayanthan S, Rupesh G, Vimalan P, Nadanasadharam K. Two rare cases of idiopathic spontaneous extra-axial spinal hematoma. (caserepclinradiol.org)
Herein, we report two cases of rare idiopathic spontaneous extra-axial hematoma highlighting the role of MRI in the diagnosis. (caserepclinradiol.org)
[ 1 ] Among these subtypes, spontaneous epidural and subdural spinal hematoma are rare and differentiating them is a diagnostic challenge. (caserepclinradiol.org)
This case highlights the problem of drug interaction on warfarin therapy and also an unusual spontaneous recovery of spinal hematoma. (ruralneuropractice.com)
The incidence of spontaneous spinal epidural hematoma is about one in one million individuals per year with a male preponderance of 3:1, occurring most commonly between the ages of 42 to 52 years. (ruralneuropractice.com)
There exist very few case reports of soft cells hematoma, such as spontaneous mediastinal hematoma, hematoma in iliac psoas muscle mass, spinal epidural hematoma, and acute subdural hematoma, as H 89 dihydrochloride irreversible inhibition the initial presenting features of CML [10C12]. (cancercurehere.com)
Spontaneous spinal epidural hematoma is extremely rare. (sch.ac.kr)
Detailed neurologic examination and spinal magnetic resonance imaging identified extensive, spontaneous spinal epidural hematoma. (sch.ac.kr)
We report sudden hemiplegia by extensive, spontaneous spinal epidural hematoma in an anticoagulated patient with therapeutic range INR. (sch.ac.kr)

Spinal hematomas, occurring on anticoagulant therapy, are even more uncommon. (ruralneuropractice.com)
There may be a history of trauma, a recent spinal procedure and/or the patient may be on anticoagulant therapy. (patient.info)

Because the vertebral canal is a fixed space, the hematoma can compress the spinal cord and nerve roots and potentially cause permanent neurologic damage. (medscape.com)
Blood flows from the anterior spinal artery into medullary branches of the intradural vertebral arteries, and subsequently into segmental radiculomedullary arteries. (medscape.com)
The blood flow to the posterior spinal arteries originates from intradural vertebral arteries, which are from medullary segments of the posterior inferior cerebellar arteries and segmental radiculopial arteries. (medscape.com)
Spinal cord edema was also noted at the T6-T7 vertebral level. (surgicalneurologyint.com)
This involves removing any pressure off the spinal cord, correction of the bone alignment, stabilisation of the spine with screws, rods or plates and fusion of the vertebral bones to promote better long-term stability. (eurospinepatientline.org)
Spinal causes include conditions that require urgent management to prevent or minimize permanent neurological dysfunction (e.g., spinal cord compression , spinal infections ) and nonurgent causes (e.g., inflammatory arthritis , bone metastases without cord compression or unstable vertebral fracture ). (amboss.com)
1,3 Potential serious injuries include vertebral body fracture, disc extrusion, cord contusion or compression, ligamentous rupture, epidural haematoma, facet displacement and vertebral or carotid arterial injury. (racgp.org.au)
This online presentation reviews the anatomy, pathophysiology, and characteristic appearances of spinal infections and noninfectious mimics involving the vertebral column, facet joints, and epidural space ( Fig 1 ). (rsna.org)
Illustration of a lumbar vertebral body shows the anatomy of the spine, including the disk-endplate complex, facet, and epidural and paraspinal regions. (rsna.org)
Imaging findings of infection involving the vertebral column include endplate destruction, iliopsoas edema, and epidural phlegmon. (rsna.org)

Acute myelopathy in patients with cancer can also be caused by irradiation, paraneoplastic necrotising myelitis, ruptured intervertebral disc and meningeal carcinomatosis with spinal cord involvement. (patient.info)
It showed multiloculated cystic mass (11×1.5×1 cm) in spinal canal at posterior and right posterolateral region from C1 to T2 level with mass effect on spinal cord and compressive myelopathy at C6 to 7 at right side ( Fig. 1 ). (sch.ac.kr)
Myelopathy is a clinical diagnosis with localization of the neurological findings to the spinal cord, rather than the brain or the peripheral nervous system, and then to a particular segment of the spinal cord. (bvsalud.org)
Myelopathy can be the result of primary intrinsic disorders of the spinal cord or from secondary conditions, which result in extrinsic compression of the spinal cord. (bvsalud.org)
2021. Effect of Ventral vs Dorsal Spinal Surgery on Patient-Reported Physical Functioning in Patients With Cervical Spondylotic Myelopathy: A Randomized Clinical Trial. . (cornell.edu)

Hematoma is suspected in patients with symptoms and signs of acute, nontraumatic spinal cord compression or sudden, unexplained lower extremity paresis, particularly if a possible cause (eg, trauma, bleeding diathesis) is present. (msdmanuals.com)
Studies show that this provides better acute relief of symptoms. (eurospinepatientline.org)
Radiotherapy is done once the wounds have healed to slow down tumour growth and steroid treatment has been shown to bring about an acute relief in nerve related symptoms. (eurospinepatientline.org)
Magnetic resonance imaging should be considered in patients with neurologic symptoms or advanced cervical degenerative disease, as these patients are at particular risk of acute disc and ligamentous injury following trauma. (racgp.org.au)
Emergency laminectomy was performed to decompress and remove the spinal epidural hematoma at 18 hours after the onset of sensorimotor symptoms. (elsevierpure.com)
Additionally, this report highlights the need for increased vigilance regarding the rapid onset of GBS symptoms in elderly patients following spinal surgery. (thenerve.net)

Cauda equina injury Trauma to the spine may cause injuries involving the spinal cord, vertebrae, or both. (msdmanuals.com)
1 3 15 16 17 23 31 ] Clinical symptomatology varies from pain to sensory and/or motor deficits, hemiparesis, Brown-Séquard syndrome, incomplete or complete spinal cord syndrome, as well as cauda equina syndrome. (surgicalneurologyint.com)
Patients in whom acute cauda equina syndrome is being considered should not be treated or investigated on an outpatient basis without evaluation by a consultant and/or appropriate imaging. (medscape.com)
Cauda equina syndrome causes compression of the spinal nerves. (vignalawgroup.com)
The failure to timely diagnose and treat acute cauda equina syndrome will likely be a battle of the experts in the courthouse. (vignalawgroup.com)
Cauda equina syndrome is the result of massive herniated discs, epidural hematomas, or spinal infections that cause compression of the spinal nerves in the lumbar spine. (vignalawgroup.com)
Unfortunately, that is not happening and avoidable bad outcomes continue with patients who suffer spinal cord injury and cauda equina syndrome. (vignalawgroup.com)

A spinal subdural or epidural hematoma is an accumulation of blood in the subdural or epidural space that can mechanically compress the spinal cord. (msdmanuals.com)

Recovery after spinal cord compression depends on how severe is the problem. (eurospinepatientline.org)
In the case of tumours and spinal cord compression, the recovery rate depends on the type of cancer. (eurospinepatientline.org)
Acute spinal cord compression is a neurosurgical emergency. (patient.info)
Rapid diagnosis and management of spinal cord compression are essential to have the highest chances of preventing permanent loss of function. (patient.info)
In advanced stages, it can cause spinal cord compression. (patient.info)
Clinical features depend upon the extent and rate of development of spinal cord compression. (patient.info)
Spinal cord MRI was done immediately after because we suspected cervical and thoracic spinal cord compression. (sch.ac.kr)
At 19 hours after the epidural catheter was removed, emergency magnetic resonance imaging detected a spinal epidural hematoma at the level of Th9-11 with compression of the spinal cord. (elsevierpure.com)

Hematoma can occur as a consequence of trauma to the epidural venous plexus during placement of a needle or catheter. (medscape.com)
Autopsy studies demonstrate the hemorrhagic necrosis of the spinal cord that is caused by trauma. (medscape.com)
Spinal subdural or epidural hematoma (usually thoracic or lumbar) is rare but may result from back trauma, anticoagulant or thrombolytic therapy, or, in patients with bleeding diatheses, lumbar puncture. (msdmanuals.com)
Suspect spinal subdural or epidural hematoma in patients with local or radicular back pain and percussion tenderness or sudden, unexplained lower-extremity paresis, particularly if a possible cause (eg, trauma, bleeding diathesis) is present. (msdmanuals.com)
A recent meta-analysis of 65 studies including almost 282 000 trauma patients, found that cervical spine injury occurs in 3.7% of patients overall, with 2.8% of alert patients and 7.7% of obtunded patients having an acute abnormality detected. (racgp.org.au)
However, spinal cord injury is a very rare occurrence and is most often associated with major trauma. (racgp.org.au)
In acute severe trauma, Advanced Trauma Life Support (ATLS) guidelines should be followed. (racgp.org.au)
A spinal subdural or epidural hematoma may result from back trauma, anticoagulation or thrombolytic therapy, or, in patients with bleeding diathesis, lumbar puncture [ 1 ]. (sch.ac.kr)
We suspected mostly hematoma because the patient's symptom developed suddenly without any history of trauma, bleeding diathesis but she was on warfarin. (sch.ac.kr)

[ 3 ] The incidence is also increased in patients who are taking anticoagulants, those who have coagulation disorders, and those who require multiple attempts for epidural placement. (medscape.com)
There is paucity of data to estimate the incidence of spinal hematoma, perhaps due to the rarity of this disorder. (ruralneuropractice.com)
Spinal cord injury epidemiology is changing as preventative interventions reduce injuries in younger individuals, and there is an increased incidence of incomplete injuries in aging populations. (neurosurgery.directory)
Incidence and prevalence of spinal cord injury in Canada: a national perspective. (neurosurgery.directory)
Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey? (neurosurgery.directory)

Ralf Kockro, MD, Senior Consultant Neurosurgeon and Attending Neurosurgeon, Hirslanden Hospital Zürich, shared his experience in open surgical interventions in acute stroke such as hemicraniectomy, intracerebral hematoma removal, and cerebral aneurysm clipping. (eso-stroke.org)

The first step towards diagnosis and therapy is recognizing that the patient has some sort of spinal cord pathology. (emcrit.org)
It must be suspected in any patient on anticoagulant agents who complains of local or referred spinal pain associated with neurological deficits. (ruralneuropractice.com)
The patient acquired a brief history of two little hematomas in the proper and still left thigh area in the preceding 3?a few months that spontaneously had resolved. (cancercurehere.com)
After the reversal of anticoagulation with vitamin K injection, the patient underwent emergent hematoma removal surgery and recovered completely. (sch.ac.kr)
Four hours after the epidural catheter was removed, the patient complained of bilateral fatigue in legs and developed a loss of sensation. (elsevierpure.com)
In this report, the authors present a case of GBS in an elderly patient after spinal fusion surgery and emphasize the importance of evaluating new-onset weakness in such cases. (thenerve.net)
While there have been few reported cases of GBS after spinal surgery in elderly patients over 65 years old, this manuscript presents a case report and highlights the significance of evaluating new-onset weakness following spinal fusion surgery in this patient population. (thenerve.net)
The drug carries a boxed warning about issues in specific patient groups, including those with atrial fibrillation and a creatinine clearance greater than 95 mL/min, and the risk of spinal or epidural hematomas. (acpinternist.org)
Settlement: Negligent treatment of leukemia results in patient suffering spinal cord injury and quadriplegia. (klinespecter.com)

Spinal infections can be acute or chronic. (patient.info)
Contrast-enhanced lumbar MRI demonstrated a homogeneous enhancing intradural mass, spanning L4 to the sacrum, with a corresponding T2 hypointense signal ( Technical Appendix Figure, panels A, B). Diagnosing this lumbosacral intradural mass was not obvious because the differential diagnosis includes neoplasms, infections, and hematomas. (cdc.gov)

Note that the spinal cord level doesn't line up precisely with the corresponding vertebrae, especially caudal to the thoracic spine. (emcrit.org)
Lhermitte's sign (an electric-shock sensation elicited by neck flexion that runs down the spine and sometimes into the limbs) suggests involvement of the posterior columns of the cervical spinal cord. (emcrit.org)
Spinal magnetic resonance imaging revealed a large thoracolumbar subdural hematoma with some epidural components in the upper thoracic spine levels. (surgicalneurologyint.com)
Here, we present a rare case of a large multicomponent, combined epidural and subdural spinal hematoma extending from the cervical spine to the low thoracic spine that was treated conservatively. (surgicalneurologyint.com)
Results Epidural placement was difficult and advanced thoracic spine osteoarthritis was later identified on spinal imaging. (bmj.com)
Magnetic resonance imaging (MRI) of the spine revealed an epidural hematoma at D 12 - L 1 level. (ruralneuropractice.com)

On POD3, the surgeon removed the epidural catheter under both antiplatelet and anticoagulation therapy. (elsevierpure.com)
Six hours after the epidural catheter was removed, he developed motor paralysis and became completely paralyzed in both limbs after 9 hours. (elsevierpure.com)
Conclusions: In patients with urgent antithrombotic therapy for urgent percutaneous coronary intervention (PCI) with an IABP for acute coronary syndrome, the epidural catheter should not be removed until the IABP and heparin are discontinued, and platelet counts have recovered. (elsevierpure.com)

Intramedullary spinal cord tumors, both primary CNS and metastatic (especially renal cell carcinoma), can also bleed and lead to hematomyelia. (medscape.com)
Dr. Knopman has extensive research experience in the area of minimally invasive neurosurgery and has published both articles and book chapters pertaining to the treatment of degenerative spinal disease, brain tumors, and aneurysms utilizing the most innovative, least invasive approaches. (superdoctors.com)

Hemisection of the spinal cord can occur and is known as Brown-Séquard's syndrome. (patient.info)
Brown-Séquard syndrome is an incomplete spinal cord lesion characterized by a clinical picture reflecting hemisection injury of the spinal cord, often in the cervical cord region. (medscape.com)
As an incomplete spinal cord syndrome, the clinical presentation of Brown-Séquard syndrome may range from mild to severe neurologic deficit. (medscape.com)
Spinal cord anatomy accounts for the clinical presentation of Brown-Séquard syndrome. (medscape.com)
Brown-Séquard syndrome results from damage to or loss of ascending and descending spinal cord tracts on 1 side of the spinal cord. (medscape.com)
Brown-Séquard syndrome can be caused by any mechanism resulting in damage to 1 side of the spinal cord. (medscape.com)

85% of patients with acute low back pain have nonspecific back pain . (amboss.com)

Therefore, a sensory level to light touch may be absent unless both of these are involved (e.g., a complete injury that involves all spinal cord tracts). (emcrit.org)
The rehabilitation team, especially the spinal cord injury rehabilitation physician and occupational and physical therapists, should be involved as soon as possible. (medscape.com)
Signal density of the hematoma compared with the brain parenchyma changes over time after injury. (medscape.com)
Spinal hematoma is a rare condition but can cause significant spinal injury and resultant morbidity. (caserepclinradiol.org)
Greg Vigna, MD, JD, practicing spinal cord injury physician, national neurological injury attorney, and Certified Life Care Planner states, "We represent clients who have suffered this serious injury who presented to hospitals in time to be saved from catastrophic permanent neurological injury but the failure to diagnose and treat results in chronic neuropathic pain, sexual dysfunction, paralysis, and bowel and bladder incontinence. (vignalawgroup.com)
reviewed four registry networks, The NACTN Spinal Cord Injury Registry , The Spinal Cord Injury Model Systems (SCIMS) Database, The Rick Hansen Spinal Cord Injury Registry (RHSCIR), and the European Multi-Center Study about Spinal Cord Injury Study ( EMSCI ). (neurosurgery.directory)
At the site of spinal cord injury (SCI), nerve roots and/or anterior horn cells also may be affected. (medscape.com)

We present a case of a 42-year-old male, an old case of deep vein thrombosis on warfarin and other drugs like quetiapine, aspirin, diclofenac sodium, fenofibrate, atorvastatin, propanolol and citalopram for concurrent illnesses, who presented with widespread mucocutaneous bleeding and epidural spinal hematoma. (ruralneuropractice.com)
INNOHEP® (tinzaparin) is indicated for the treatment of acute symptomatic deep vein thrombosis with or without pulmonary embolism when administered in conjunction with warfarin sodium. (rxlist.com)

Intracranial pressure may be measured during a spinal tap (lumbar puncture). (medlineplus.gov)

Conservative management of spinal hematomas secondary to induced coagulopathies can be effective. (surgicalneurologyint.com)

Spinal cord injuries can also have devastating psychological and psychosocial effects. (eurospinepatientline.org)
Support groups are a very positive influence for patients living with spinal cord injuries. (eurospinepatientline.org)
Verdict against Penn doctor for a woman whose spinal mass went undiagnosed, resulting in permanent injuries. (klinespecter.com)
Settlement: Paraplegic injuries to 11-year old girl following spinal surgery. (klinespecter.com)

Magnetic resonance imaging revealed anterolisthesis at the L4-L5 level and disc protrusions with central and lateral recess spinal stenosis at L3-L4-L5. (thenerve.net)
Lumbar laminectomy , represents the standard operative treatment for lumbar spinal stenosis , but this procedure is often combined with fusion surgery. (neurosurgery.directory)

Importantly, the acute pain service was decisive in expediting diagnosis and management, ultimately resulting in reversal of the neurological deficits. (bmj.com)
Assessment for red flag features of acute back pain and a focused neurological examination is required in all patients. (amboss.com)
Patients with new neurological findings other than isolated unilateral radiculopathy require immediate imaging, typically MRI , and urgent spinal surgery consultation. (amboss.com)
Patients with red flag features but normal neurological examination are unlikely to need urgent spinal surgery . (amboss.com)

The spinal hematomas can be classified based on the anatomical location as follows: Epidural, subdural, subarachnoid, and intramedullary (spinal cord) hematomas. (caserepclinradiol.org)

Acute renal failure in multiple myeloma. (mcmaster.ca)

2-3% of visits to the ED are for acute nontraumatic back pain . (amboss.com)
Acute nontraumatic back pain has a broad differential diagnosis, but the primary concern in the emergent setting is the accurate and timely identification of spinal infection. (rsna.org)

Timely diagnosis and treatment are of the utmost importance, and acute pain services undoubtedly play a key role in active vigilance. (bmj.com)

Ischemia results from mass effect and disruption of blood flow, which may cause infarction of the spinal cord. (medscape.com)

Here, we review the most important differential diagnoses ( Mimics ) for patients presenting with acute flaccid paralysis and brainstem syndromes and highlight some of the more unusual presentations ( Chameleons ) of GBS-related disorders. (bmj.com)

Thus, diseases affecting the anterior horn of the spinal cord cause flaccid paralysis. (emcrit.org)

A 78-year-old woman sought treatment at the neurosurgery clinic at Wake Forest Medical Center (Winston-Salem, NC, USA), in August 2015 with a 4-month history of acute or chronic lower back pain, leg weakness, and radicular pain in the left side. (cdc.gov)

Treatment of a spinal subdural or epidural hematoma is immediate surgical drainage. (msdmanuals.com)
Even though the exact cause of epidural hematoma is not known in most cases, anticoagulation treatment is associated in some cases. (sch.ac.kr)
With decompressive surgery and proactive interventions to improve spinal cord perfusion, early treatment has become more intensive. (neurosurgery.directory)

Motor weakness may be used to evaluate the level of a spinal lesion that involves the corticospinal tract. (emcrit.org)
Chameleons or atypical presentations of GBS-related disorders include: paraparetic GBS, bifacial weakness with paraesthesias, acute ataxic neuropathy, acute ophthalmoparesis, acute ptosis and acute mydriasis. (bmj.com)

Anatomy7

Diseases20

Chemicals and Drugs1

Analytical, Diagnostic and Therapeutic Techniques and Equipment9

Abscess6

Anesthesia10

Postoperative5

Hemorrhage13

Traumatic6

Decompression5

Spontaneous11

Anticoagulant Therapy2

Vertebral10

Myelopathy5

Symptoms6

Cauda7

Compress the spinal cord1

Compression8

Trauma9

Incidence5

Intracerebral hematoma1

Patient9

Infections2

Spine6

Catheter3

Tumors2

Syndrome6

Patients with acute1

Injury7

Deep Vein Throm2

Intracranial1

Management of spinal1

Injuries4

Stenosis2

Neurological4

Intramedullary1

Renal1

Nontraumatic back2

Diagnosis and treatment1

Infarction1

Syndromes1

Flaccid paralysis1

Neurosurgery1

Treatment3

Weakness2