Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Chronic Spinal Epidural Hematoma Related to Kummell's Disease

  • Kim, Heyun-Sung (Department of Neurosurguery, Heori Sarang Hospital) ;
  • Lee, Seok-Ki (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chosun University) ;
  • Kim, Seok-Won (Department of Neurosurgery, College of Medicine, Chosun University) ;
  • Shin, Ho (Department of Neurosurgery, College of Medicine, Chosun University)
  • Received : 2010.01.21
  • Accepted : 2011.03.23
  • Published : 2011.04.28
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Abstract

Chronic spinal epidural hematoma related to Kummell's disease is extremely rare. An 82-year-old woman who had been managed conservatively for seven weeks with the diagnosis of a multi-level osteoporotic compression fracture was transferred to our institute. Lumbar spine magnetic resonance images revealed vertebral body collapse with the formation of a cavitary lesion at L1, and a chronic spinal epidural hematoma extending from L1 to L3. Because of intractable back pain, a percutaneous vertebroplasty was performed. The pain improved dramatically and follow-up magnetic resonance imaging obtained three days after the procedure showed a nearly complete resolution of the hematoma. Here, we present the rare case of a chronic spinal epidural hematoma associated with Kummell's disease and discuss the possible mechanism.

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References

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