Abstract | STUDY DESIGN: Case report. OBJECTIVE: SUMMARY OF BACKGROUND DATA: Spontaneous spinal epidural hematoma is a rarity in the literature with a variety of etiologies. In 1 study, it was reported to originate from a synovial joint due to osteoarthritis of the joint. METHODS: A case of hematoma of the lumber synovial joint is presented. RESULTS: A 67-year-old man who was on anticoagulation therapy presented with progressive neurologic symptoms in the right lower limb. Magnetic resonance imaging scan revealed what was thought to be a L4-L5 synovial joint cyst. During surgery, it was proven to be an epidural hematoma originating from the synovial joint. Microscopic examination confirmed the diagnosis and excluded the possibility of spinal synovial cyst. After spinal decompression, neurologic symptoms improved completely in 2 weeks. CONCLUSIONS:
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Authors | Ali Nourbakhsh, Kim J Garges |
Journal | Spine
(Spine (Phila Pa 1976))
Vol. 32
Issue 9
Pg. E300-2
(Apr 20 2007)
ISSN: 1528-1159 [Electronic] United States |
PMID | 17450063
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Aged
- Anticoagulants
(adverse effects, therapeutic use)
- Cardiovascular Diseases
(prevention & control)
- Diagnosis, Differential
- Hematoma
(chemically induced, diagnosis, pathology)
- Hematoma, Epidural, Spinal
(chemically induced, diagnosis, pathology)
- Humans
- Lumbar Vertebrae
- Magnetic Resonance Imaging
- Male
- Synovial Cyst
(diagnosis, pathology)
- Warfarin
(adverse effects, therapeutic use)
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