ArticleCureus2025
Outcomes of Conservative Management of Spontaneous Spinal Epidural Hematomas: A Retrospective Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Article
- Extensive thoracic spontaneous epidural hematoma presenting with position-induced transient paraplegia: successful conservative management in the resource limited settings.International journal of emergency medicine · 2026Article
- Optimizing Management of Spontaneous Cervical Epidural Hematoma: The Role of Early Intervention in Functional Recovery.Spine surgery and related research · 2026Article
- Conservative management of spontaneous thoracolumbar epidural hematoma: a case report.International journal of emergency medicine · 2025Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpontaneous spinal epidural hematoma (SSEH) is a rare condition. The clinical characteristics and disease course of patients with SSEH treated conservatively for SSEH remain unclear. Therefore, this study aimed to clarify the clinical characteristics and courses of conservatively treated SSEH.
methodsWe retrospectively reviewed and analyzed patients with conservatively treated SSEH admitted to the Shinshu University Hospital between July 2009 and December 2023.
resultsWe identified 22 patients with conservatively treated SSEH (9 men and 13 women) aged 40-85 years (median age, 69 years). A total of 13 patients had an American Spinal Injury Association (ASIA) score of E at admission. Seven patients were on antiplatelet therapy, and one was taking anticoagulants. The interval between the first and second magnetic resonance imaging (MRI) scans was five days (4-6.75 days). The size of hematomas decreased on the second MRI in all cases but did not regress. Patients were allowed to mobilize from bed after six days (5-7 days), with the length of hospital stay being 10.5 days (9-13 days), and no cases of recurrence were reported.
conclusionsMRI re-evaluation approximately five days after the first assessment facilitated early rehabilitation in patients with conservatively treated SSEH. Consequently, conservative management should include neurological assessments and follow-up MRIs during hospitalization.
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