Good outcomes after the delayed removal of an epidural hematoma: A case report

We report a rare case of delayed removal of an epidural hematoma that resulted in good patient outcomes. Patient concerns: A 69-year-old woman weighing 58 kg presented with back pain that had persisted for 12 years. Her medical history was notable for hypertension. Cervical computed tomography angiography indicated a giant abdominal aortic aneurysm measuring 11.58 × 17.34 × 13.00 cm in her abdominal cavity. Stent graft implantation was scheduled by the interventional therapy group to treat her abdominal aortic aneurysm under single-dose spinal anesthesia. Postoperatively, the patient complained of numbness and swelling of her lower extremities, with progressive paralysis developing in both legs accompanied with sensory disturbances. Diagnoses: Delayed magnetic resonance imaging detected an epidural hematoma. Interventions: Eighty hours after the onset of sensorimotor symptoms, lumbar decompression and removal of the hematoma were performed via laminectomy under general anesthesia. Outcomes: The patient was discharged 2 months after the operation with a 3/5 score on the Muscle Strength Grading System. Lessons: Laminectomy may be effective in achieving a good prognosis despite a considerable delay in diagnosis.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research