Epidural hematomas spinal puncture. Medical search. Frequent questions

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)
Epidural or spinal hematomas have occurred in patients treated with XARELTO ® who are receiving neuraxial anesthesia or undergoing spinal puncture. (janssencarepath.com)

However, serious complications such as dural puncture, sympathetic block, spinal hematoma, and epidural abscess can also be seen due to epidural application [ 5 ]. (biomedcentral.com)
These children are at risk of an inadvertent dural puncture during caudal anaesthesia. (developinganaesthesia.com)
Esler MD, Durbridge J, Kirby S. Epidural haematoma after dural puncture in a parturient with neurofibromatosis. (jsurgmed.com)

This risk is increased when you use other "blood thinning" medications (e.g., aspirin, clopidogrel, warfarin), NSAIDs (e.g., ibuprofen, naproxen), or when certain medication delivery devices (indwelling epidural catheters) are used. (patientassistance.com)
Persons at risk for hematomas may present with indwelling epidural catheters, concurrent use of medications that worsen bleeding states such as non-steroidal anti-inflammatory drugs (NSAIDs), or a past medical history of epidural or spinal punctures, spinal injury, or spinal deformations. (wikipedia.org)

Spinal epidural abscess. (tomwademd.net)
Lumbar puncture is initially contraindicated , since this could exacerbate a spinal epidural abscess or epidural hematoma. (tomwademd.net)
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 cord injuries have occurred during cervical medial branch blocks, intra-articular injections, and radiofrequency neurotomy because operators did not obtain correct views of the target region and misdirected their needles or electrodes. (edu.au)
Epidural injections can be complicated by subdural or intrathecal injections, or venous puncture resulting in a haematoma. (edu.au)
9) reviewed 158 patients who underwent epidural spinal injections for low-back pain with or without radiculopathy. (neurosurgery.directory)
Welcome to Catonsville and Sykesville Physical Therapy's educational reference on epidural steriod injections. (catonsvillephysicaltherapy.com)
Epidural steroid injections (ESI) are commonly used to control back and leg pain from many different causes. (catonsvillephysicaltherapy.com)
Epidural steroid injections (ESIs) have been endorsed by the North American Spine Society and the Agency for Healthcare Research and Quality (formerly, the Agency for Health Care Policy and Research) of the Department of Health and Human Services as an integral part of nonsurgical management of radicular pain from lumbar spine disorders. (medscape.com)
see also Approaches for Epidural Injections) was performed in 1901, when cocaine was injected to treat lumbago and sciatica (presumably pain referred from lumbar nerve roots). (medscape.com)
Healthcare providers use cervical epidural steroid injections (ESIs) as a temporary pain relief option for certain causes of chronic neck pain. (clevelandclinic.org)
The main goal of cervical epidural steroid injections is to help manage chronic pain caused by irritation and inflammation of the spinal nerve roots in your neck (the cervical region of your spine) due to certain conditions or injuries. (clevelandclinic.org)
Healthcare providers use cervical epidural steroid injections (cervical ESIs) for chronic pain management. (clevelandclinic.org)
Cervical epidural steroid injections most often lead to temporary pain relief, but some people do not experience pain relief from the injection. (clevelandclinic.org)
What are cervical epidural steroid injections used for? (clevelandclinic.org)
Healthcare providers use cervical epidural steroid injections to manage a type of chronic pain known as cervical radiculopathy, which is caused by spinal nerve root inflammation and irritation in your neck. (clevelandclinic.org)

Signs or symptoms of neurological impairment should be monitored in case of neuraxial anesthesia (spinal/epidural anesthesia) or spinal puncture as epidural or spinal hematoma can occur. (com.bd)
The label for Fragmin contains a boxed warning to alert health care professionals and patients that epidural or spinal hematomas (accumulation of blood that can mechanically compress the spinal cord) may occur in patients who are anticoagulated due to taking certain medications called low molecular weight heparins (LMWH) or heparinoids and are receiving neuraxial anesthesia (injection near the spine) or undergoing spinal puncture (removing spinal fluid for testing). (international-pharma.com)

Spinal epidural hematoma may also be traumatic, though it may occur spontaneously. (medscape.com)
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)
Spinal cord hemorrhage can be divided based on etiology, into two types: (1) traumatic and (2) non-traumatic. (medscape.com)
The most common cause of spinal cord hemorrhage is traumatic injury. (medscape.com)
Post-traumatic, iatrogenic or spontaneous spinal hematomas (epidural and/or subdural) are rare and have different pathophysiological causes. (surgicalneurologyint.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)
Penetrating and non-penetrating injuries to the spinal cord resulting from traumatic external forces (e.g. (lookformedical.com)

In lumbar puncture (LP), a needle is inserted into the lumbar subarachnoid space to collect cerebrospinal fluid (CSF) for laboratory testing, to measure CSF pressure, and sometimes to give intrathecal diagnostic or therapeutic agents. (msdmanuals.com)
The spinal block involves the injection of a local anesthetic into the subarachnoid space, which is the area around the spinal cord that contains the cerebrospinal fluid. (healthhearty.com)
First, a special needle is inserted into the epidural space, which is the outermost part of the spinal canal that lies outside the dura mater, which in turn is the space that contains the spinal cord, cerebrospinal fluid, subarachnoid space, and the arachnoid mater. (healthhearty.com)
The inner sheath continues as the covering of the spinal cord and it contains the spinal cord and cerebrospinal fluid. (developinganaesthesia.com)
Spinal arachnoid cysts develop as accumulations of cerebrospinal fluid within an extradural or intradural diverticulum/cavitation of the arachnoid membranes (Fig. 1 ). (biomedcentral.com)

Li C, He R, Li X, Zhong Y, Ling L, Li F. Spontaneous spinal epidural hematoma mimicking transient ischemic attack: A case report. (medscape.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)
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)
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)

Nerves to the cervical cord are located closest to the middle of the cord, whereas nerves to the sacrum are located farthest towards the edges of the spinal cord. (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 cord lesion in the cervical or thoracic cord (especially a central cord lesion). (tomwademd.net)
Cervical discography, additionally, can be complicated by spinal cord injury. (edu.au)
Hematomyelia more commonly involves the cervical rather than thoracic or lumbar spinal cord. (medscape.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)
Spinal cord MRI was done immediately after because we suspected cervical and thoracic spinal cord compression. (sch.ac.kr)
In the cervical spine and thoracic spine, the whole length of the spinal cord is also contained within the dura and the spinal sac. (catonsvillephysicaltherapy.com)
What is a cervical epidural steroid injection? (clevelandclinic.org)
A cervical epidural steroid injection (cervical ESI) is an injection of anti-inflammatory medicine - a steroid or corticosteroid - into the epidural space around the spinal nerves in your neck. (clevelandclinic.org)
How does a cervical epidural steroid injection work? (clevelandclinic.org)
Sometimes, nerve roots that are attached to the cervical region (neck region) of your spinal cord can become pinched or inflamed. (clevelandclinic.org)
During a cervical epidural steroid injection procedure, your provider injects a steroid into the epidural space around your spinal cord. (clevelandclinic.org)

Note that the spinal cord level doesn't line up precisely with the corresponding vertebrae, especially caudal to the thoracic spine. (emcrit.org)
Spinal block and epidural, which involve injecting an anesthetic agent into the lumbar spine, are often recommended for the surgeries of the lower abdominal region and extremities. (healthhearty.com)
When an anesthetic is administered around the major nerves or the spinal cord in the lumbar spine, it blocks the pain signals from reaching the brain, thereby providing relief from pain. (healthhearty.com)
Your risk of developing a spinal or epidural blood clot is higher if: a thin tube called an epidural catheter is placed in your back to give you certain medicine, you take NSAIDs or a medicine to prevent blood from clotting, you have a history of difficult or repeated epidural or spinal punctures, and you have a history of problems with your spine or have had surgery on your spine. (savaysa.com)
Describe the anatomy of the spine, vertebral column and epidural space. (developinganaesthesia.com)
Magnetic resonance imaging (MRI) of the spine revealed an epidural hematoma at D 12 - L 1 level. (ruralneuropractice.com)
Spinal magnetic resonance imaging revealed a large thoracolumbar subdural hematoma with some epidural components in the upper thoracic spine levels. (surgicalneurologyint.com)
The dura is the sac that encloses the spinal fluid and nerves of the spine. (catonsvillephysicaltherapy.com)
In the lumbar spine the spinal cord actually stops at the second lumbar vertebra but the nerves continue on. (catonsvillephysicaltherapy.com)
This means that in the lower lumbar spine there are only spinal nerves running within the spinal sac. (catonsvillephysicaltherapy.com)
Fluid such as the lidocaine and cortisone that is injected during an ESI is free to flow up and down the spine and inside the epidural space to coat the nerves that run inside the spinal canal. (catonsvillephysicaltherapy.com)
Fluid injected through this opening can flow upward through the epidural space to coat the nerves throughout the lower lumbar spine. (catonsvillephysicaltherapy.com)

Thrombosis/occlusion of the inferior vena cava causing enlargement of the epidural venous plexus. (tomwademd.net)
The pial surface and superficial regions of the spinal cord are drained by radial veins and the coronal venous plexus. (medscape.com)
This finding of prominent venous dilation associated with SIH is due to a secondary increase in the venous volume intracranially and in the spinal canal. (ajnr.org)

Multiple Sclerosis (MS) Multiple sclerosis (MS) is characterized by disseminated patches of demyelination in the brain and spinal cord. (msdmanuals.com)
This is the fluid that surrounds the brain and spinal cord. (medlineplus.gov)
The pia mater is the innermost membrane surrounding the brain and spinal cord. (developinganaesthesia.com)

Common side effects of patients taking Fragmin are bleeding, including hemorrhage (heavy discharge of blood from a blood vessel), thrombocytopenia (low blood platelet count), hematoma (collection of blood) or pain at the injection site and transient elevation of transaminases (elevated level of liver enzymes). (international-pharma.com)
Hemorrhage affecting the spinal cord is rare. (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)
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)

Spinal arachnoid cysts are subdivided into five types: 1) intramedullary cysts/syrinxes, 2) subdural extramedullary, 3) subdural/epidural, 4) intraspinal epidural, and 5) intraspinal/extraspinal. (biomedcentral.com)

Bilateral epidural hematomas account for 2-10% of all acute epidural hematomas in adults but are exceedingly rare in children. (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)

Once the needle is in place, a small catheter is placed into the epidural space through the needle. (healthhearty.com)

Epidural hematoma (ie, accumulation of blood in the potential space between dura and bone) may be intracranial (EDH) or spinal (SEDH) (see the image below). (medscape.com)

It may be necessary to delay anticoagulant dosing in these persons in order to decrease the risk for spinal or epidural hematomas, which can manifest as permanent or long-term paralysis. (wikipedia.org)
People who take a blood thinner medicine (anticoagulant) like ELIQUIS, and have medicine injected into their spinal and epidural area, or have a spinal puncture have a risk of forming a blood clot that can cause long-term or permanent loss of the ability to move (paralysis). (pharmacyhq.com)
It must be suspected in any patient on anticoagulant agents who complains of local or referred spinal pain associated with neurological deficits. (ruralneuropractice.com)
Spinal hematomas, occurring on anticoagulant therapy, are even more uncommon. (ruralneuropractice.com)

CT scan with contrast may detect bony abnormalities of the spinal canal (e.g., spinal stenosis), but is less sensitive for soft tissue disorders. (tomwademd.net)
The contents of the spinal canal include the spinal cord, nerve roots, the cauda equina (below the conus medullaris of the spinal cord), the meninges (pia, arachnoid and dura mater), epidural space, subdural space and subarachnoid space, blood vessels, fat, lymphatics and ligaments between the vertebrae. (developinganaesthesia.com)
It is loose in the spinal canal. (developinganaesthesia.com)
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)
The advantage to this type of injection is that it places the medication in the front of the spinal canal, near the intervertebral disc. (catonsvillephysicaltherapy.com)
A variety of cystic lesions may develop in spinal canal. (biomedcentral.com)
Up to now, many treatment methods are available for these different spinal canal cysts. (biomedcentral.com)
However, same principle should be obeyed in surgical treatment despite of difference among spinal canal cysts, given open surgery is melely for symptomatic cyst. (biomedcentral.com)
Various types of cystic lesions are confronted in the spinal canal and are classified based on their relationship to the adjacent structures and nature of the cyst content. (biomedcentral.com)
We reviewed and summarized classification, mechanisms and treatments of these true spinal canal cysts respectively, except for the cyst-like lesions. (biomedcentral.com)
Among the cysts in the spinal canal, the arachnoid derived lesions are most common. (biomedcentral.com)
Arachnoid cysts can be observed anywhere along the length of the spinal canal, middle, and lower thoracic regions, which constitute for the most frequently involved areas [ 20 ]. (biomedcentral.com)

Spinal nerves and corresponding sensory dermatomes are shown above. (emcrit.org)
They inject an anti-inflammatory medication into the epidural space around your spinal nerves. (clevelandclinic.org)
Your spinal cord is a very important bundle of nerves that runs from your brain to your lower back. (clevelandclinic.org)
Your spinal cord acts like a highway that connects the nerves located all over your body to your brain so that your brain can send signals and communicate with the rest of your body. (clevelandclinic.org)
Spinal nerves. (clevelandclinic.org)
The leaked material may press on and pinch nearby spinal nerves. (clevelandclinic.org)

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)
A surgical procedure that entails removing all ( laminectomy ) or part (laminotomy) of selected vertebral lamina to relieve pressure on the SPINAL CORD and/or SPINAL NERVE ROOTS. (lookformedical.com)
Vertebral lamina is the thin flattened posterior wall of vertebral arch that forms the vertebral foramen through which pass the spinal cord and nerve roots. (lookformedical.com)

The termination of the spinal cord in infants is at L3 and in the foetus it extends along the entire length of the spinal column. (developinganaesthesia.com)

Cases of neuraxial hematomas with the concurrent use of Enoxaparin and spinal/epidural anesthesia or spinal puncture have resulted in varying degrees of neurologic injuries. (lifesaverpharma.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)

Intramedullary spinal cord tumors, both primary CNS and metastatic (especially renal cell carcinoma), can also bleed and lead to hematomyelia. (medscape.com)
The presence of tumors affecting the central nervous system makes spinal anesthesia risky. (jsurgmed.com)
They can trigger severe neurological symptoms, and should be differentiated from other forms of epidural cysts and tumors. (bvsalud.org)

Care for a patient with an epidural for post operative or obstetric analgesia. (developinganaesthesia.com)
Dounas M, Mercier FJ, Lhuissier C, Benhamou D. Epidural analgesia for labour in a parturient with neurofibromatosis. (jsurgmed.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)

This technique involves the placement of a catheter in the epidural space, along with the injection of a drug in the spinal fluid within the subarachnoid space. (healthhearty.com)
In the newborn, the spinal cord terminates at the third lumbar vertebra and the subarachnoid space extends to the third (or fourth) sacral space. (developinganaesthesia.com)

The revision recommends exercising caution regarding when spinal catheters are placed and removed in persons taking enoxaparin for spinal puncture or neuroaxial anesthesia. (wikipedia.org)

Intracranial epidural hematoma occurs in approximately 2% of patients with head injuries and 5-15% of patients with fatal head injuries. (medscape.com)
Consider these risks when scheduling patients for spinal procedures. (rxlist.com)
Health care professionals are advised to consider these risks when scheduling patients for spinal procedures as patients may be at a higher risk of developing VTE. (international-pharma.com)
Practice guidelines generally recommend delaying lumbar puncture (LP) in patients on dual antiplatelet therapy, with these recommendations often citing an increased risk of hemorrhagic complications, specifically the development of epidural hematomas. (nebraska.edu)
This case suggests that, in the face of neuroimaging findings of significant edema and epidural blood, the clinical examination should dictate the management, especially in such complicated patients. (surgicalneurologyint.com)
Our case suggests epidural hematoma should be considered in sudden hemiplegia patients with anticoagulation therapy. (sch.ac.kr)
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)
This strategy fills a critical need for an improved classification of spinal arachnoid cyst patients, and potentially improve treatment selection and overall prognosis. (biomedcentral.com)

On completion of this module you will be able to perform spinal, epidural and caudal anaesthesia safely. (developinganaesthesia.com)

For perfusion, three longitudinal vessels form an anastomotic network that supplies the spinal cord: two posterior spinal arteries, and the anterior spinal artery. (medscape.com)
The central perfusion region receives blood supply from the anterior spinal artery, which forms the central sulcus artery and courses into the ventral median sulcus and supplies the grey matter of spinal cord. (medscape.com)
Reduced blood flow to the spinal cord which is supplied by the anterior spinal artery and the paired posterior spinal arteries. (lookformedical.com)

The posterior spinal arteries give rise to the "vasocorona," which eventually branches into peripheral arteries and mainly supplies the white matter of the spinal cord. (medscape.com)

Alcohol and other forms of intoxication have been associated with a higher incidence of epidural hematoma. (medscape.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)
There is paucity of data to estimate the incidence of spinal hematoma, perhaps due to the rarity of this disorder. (ruralneuropractice.com)

10: Involve on call physio, consider regional anaesthesia such as thoracic epidural or paravertebral block which will need an INR and platelet check first. (abcmedicalnotes.com)

Spinal stenosis, ankylosing spondylitis. (tomwademd.net)
Lumbar laminectomy , represents the standard operative treatment for lumbar spinal stenosis , but this procedure is often combined with fusion surgery. (neurosurgery.directory)
The radicular LBP caused by spinal stenosis is probably related to the inhibition of normal nerve root vascular flow with resultant nerve root nutrition, nerve root edema, and nerve root dysfunction. (medscape.com)
In summary, clinical practice and animal research suggest that radicular pain is the result of inflammation of the nerve root in the epidural space provoked by leakage of disk material, compression of the nerve root vasculature, and/or irritation of dorsal root ganglia from spinal stenosis. (medscape.com)

Animal research in dogs and rats also has revealed severe inflammation locally within the epidural space and nerve root after injection of autologous nuclear material into the epidural space. (medscape.com)

Intraspinal epidural spinal arachnoid cysts are more common than other cyst types, followed by subdural extramedullary and intramedullary cysts/syrinxes. (biomedcentral.com)
Notably, conventional systems of classification fail to consider intraspinal epidural spinal arachnoid cysts as a distinct type given it only uses anatomical location for diagnosis. (biomedcentral.com)

Your provider injects a steroid or corticosteroid medication into the epidural space around the spinal cord in your neck. (clevelandclinic.org)

This case highlights the problem of drug interaction on warfarin therapy and also an unusual spontaneous recovery of spinal hematoma. (ruralneuropractice.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)
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)

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)

With decompressive surgery and proactive interventions to improve spinal cord perfusion, early treatment has become more intensive. (neurosurgery.directory)
After the reversal of anticoagulation with vitamin K injection, the patient underwent emergent hematoma removal surgery and recovered completely. (sch.ac.kr)
Settlement: Paraplegic injuries to 11-year old girl following spinal surgery. (klinespecter.com)

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)

Intracranial epidural hematoma is considered to be the most serious complication of head injury, requiring immediate diagnosis and surgical intervention. (medscape.com)
Intracranial and spinal epidural hematomas are more frequent in men, with a male-to-female ratio of 4:1. (medscape.com)
Intracranial epidural hematoma is rare in individuals younger than 2 years. (medscape.com)
Intracranial epidural hematoma is also rare in individuals older than 60 years because the dura is tightly adherent to the calvaria. (medscape.com)
Intracranial pressure may be measured during a spinal tap (lumbar puncture). (medlineplus.gov)

Thus, a central spinal cord lesion may cause neurologic deficits in a descending order. (emcrit.org)

The patient underwent a lumbar puncture with a 20-gauge spinal needle in the lateral decubitus position at the bedside, and the CSF was noted to return very slowly. (ajnr.org)
Immediately after the MR imaging, the patient underwent a 20-mL epidural blood patch at the C7−T1 level at the anesthesia department. (ajnr.org)

In this post, I link to and excerpt the section on Cauda Equina Sydrome from Dr. Josh Farkas 's outstanding Internet Book of Critical Care 's [Link is to the TOC] chapter Spinal Cord , May 14, 2022. (tomwademd.net)

The dura mater is surrounded by the epidural space. (developinganaesthesia.com)

Conus medullaris syndrome refers to pathology at the very end of the spinal cord (usually at the T12-L1 level). (tomwademd.net)

1 ] Most spinal hematomas are located dorsally to the spinal cord in the cervicothoracic and thoracolumbar regions. (ruralneuropractice.com)

Thus, diseases affecting the anterior horn of the spinal cord cause flaccid paralysis. (emcrit.org)
These hematomas may result in long-term or permanent paralysis . (rxlist.com)

Anatomy13

Diseases34

Chemicals and Drugs1

Analytical, Diagnostic and Therapeutic Techniques and Equipment21

Phenomena and Processes2

Information Science2

Health Care6

Anesthesia or undergoing spin2

Dural puncture3

Indwelling epidural catheters2

Abscess4

Injections13

Neuraxial anesthesia2

Traumatic9

Cerebrospinal fluid5

Spontaneous spinal7

Cervical13

Spine12

Venous3

Brain and spinal cord3

Hemorrhage8

Subdural-epidural1

Acute2

Catheter is placed1

Accumulation of blood1

Anticoagulant4

Canal12

Nerves6

Vertebral5

Length of the spinal1

Concurrent2

Tumors3

Analgesia2

Decompression2

Subarachnoid space2

Enoxaparin1

Patients8

Perform spinal1

Anterior spinal3

Posterior spinal a1

Incidence5

Paravertebral block1

Stenosis4

Nerve root1

Intraspinal2

Steroid1

Warfarin3

Cauda equina s1

Surgery3

Myelopathy2

Intracranial5

Neurologic1

Patient underwent2

20221

Dura mater1

Conus medullaris1

Thoracolumbar1

Paralysis2