Spontaneous lumbar epidural hematoma induced by acute disc herniation: A rare cause of cauda equina syndrome successfully treated with minimally invasive surgery – A case report
Year: 2025
Type: article
Study design: Case Report
Abstract: Background: Spontaneous spinal epidural hematoma in the lumbar spine is rare, and its occurrence in conjunction with acute disc herniation is exceptionally uncommon. Case Description: A 63-year-old male with chronic back pain experienced sudden exacerbation and progressive bilateral lower limb weakness. Magnetic resonance imaging with contrast revealed a sequestrated L2/3 disc and adjacent epidural hematoma compressing the thecal sac. Minimally invasive decompression and hematoma evacuation were performed. A ruptured epidural vein was identified intraoperatively. Neurological improvement was immediate, and the patient was discharged on postoperative day 2. Conclusion: This case underscores a rare etiology of cauda equina syndrome and highlights the importance of prompt diagnosis and minimally invasive surgical intervention for optimal outcomes.
Source: Surgical Neurology International
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4414553456