Spinal Epidural Hematoma Caused by Extradural Arteriovenous Malformation: A Case Report and Review of the Literature

SAKCHAI SAEHENG, M.D.*, PARAMEE THONGSUKSAI, M.D.**

Affiliation : * Division of Neurological Surgery, Department of Surgery, ** Department of Pathology. Faculty of Medicine, Prince of Songkla University. Hat Yai. Songkhla 90112. Thailand.

AbstractAbout 330 cases of spinal epidural hematoma have been reported in the literature but few cases had pathologically proven extradural arteriovenous malformation. The authors report a case of spinal epidural hematoma caused by extradural arteriovenous malformation. The patient presented with a sudden onset of back pain followed by rapidly progressive neurolo- gical deficit. MRI was the procedure of choice for diagnosis of this lesion. Treatment was emer- gency surgical decompression. Prognosis depends on the preoperative neurological deficit, opera- tive interval and localization of the hematoma.

Keywords : Spinal Epidural Hematoma, Extradural, Arteriovenous Malformation, Case Report

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