Bladder and Bowel Dysfunction due to a Spontaneous Spinal Epidural Hematoma Without Paraplegia: A Case Report. Issue 2 (8th April 2022)

• Record Type: Journal Article
• Authors: Iida, Akihiro; Miura, Masataka; Maki, Satoshi; Furuya, Takeo; Ohtori, Seiji
• Is Part Of: JBJS case connector. Volume 12:Issue 2(2022)
• Publication Date: 2022-04-08
• Subjects: spontaneous spinal epidural hematoma -- paraplegia -- bladder and bowel dysfunction; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.22.00128
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 44-year-old man developed urinary retention due to a spontaneous spinal epidural hematoma (SSEH) at the cervicothoracic junction, without paraplegia. Symptoms improved with surgical treatment. Conclusion: SSEH is rare and causes acute neck or back pain and progressive paralysis. Patients with advanced myelopathy due to spinal cord compression lesion including SSEH often present with bladder and bowel disorders after exacerbation of quadriplegia. However, SSEH can cause predominant bladder and bowel disorders without paraplegia or quadriplegia. Physicians should consider that there can be a manifestation of myelopathy with bladder and bowel dysfunction without quadriplegia.