Conservative management of spontaneous thoracolumbar epidural hematoma: a case report.

Menglong Jia, Shan Gao, Longtan Yu, Guangbin Ma

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Article in International journal of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

Subacute anterior spontaneous spinal epidural hematoma at the thoracolumbar junction: A diagnostic confounder following necrotizing staphylococcal pneumonia.Radiology case reports · 2026
Article

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Menglong Jia *Department of Spinal Surgery, Weifang Hospital of Traditional Chinese Medicine, Shandong Second Medical University, Weifang, China.

Shan Gao *Department of Spinal Surgery, Weifang Hospital of Traditional Chinese Medicine, Shandong Second Medical University, Weifang, China.

Longtan YuDepartment of Spinal Surgery, Weifang Hospital of Traditional Chinese Medicine, Shandong Second Medical University, Weifang, China.

Guangbin MaDepartment of Spinal Surgery, Weifang Hospital of Traditional Chinese Medicine, Shandong Second Medical University, Weifang, China. 792260942@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpontaneous spinal epidural hematoma (SSEH) is an exceedingly rare clinical entity often associated with neurological deficits, for which surgical intervention remains the mainstay of treatment. We report a case successfully managed through complete conservative therapy. CASE PRESENTATION: A 59-year-old Chinese male with a medical history of hypertension, chronic smoking, and alcohol use presented to our institution with acute-onset low back pain accompanied by bilateral lower limb weakness and hypoesthesia persisting for 30 min. Diagnostic imaging (CT and MRI) revealed a thoracolumbar epidural hematoma (T11-L1 distribution). Contrary to conventional surgical management paradigms, we implemented a comprehensive conservative management protocol. Remarkably, complete resolution of symptoms and spontaneous hematoma absorption were achieved within 20 days.

conclusionThis case demonstrates that select SSEH cases may achieve favorable outcomes through conservative management without surgical decompression.

Indexed as

Non-surgical treatmentSpontaneous absorptionSpontaneous spinal epidural hematoma

Identifiers

PMID41402740

DOI10.1186/s12245-025-01105-w

PMCPMC12821178

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.