U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Spinal epidural hematoma

MedGen UID:
163754
•Concept ID:
C0877172
•
Pathologic Function
Synonyms: Epidural Hematoma, Spinal; Epidural Hematomas, Spinal; Epidural Hemorrhage, Spinal; Epidural Hemorrhages, Spinal; Hematoma, Epidural, Spinal; Hematoma, Spinal Epidural; Hematomas, Spinal Epidural; Hemorrhage, Spinal Epidural; Hemorrhages, Spinal Epidural; Spinal Epidural Hematoma; Spinal Epidural Hematomas; Spinal Epidural Hemorrhage; Spinal Epidural Hemorrhages
SNOMED CT: Epidural hematoma (703861005); Spinal epidural hematoma (703861005); Spinal extradural hematoma (703861005)

Definition

A collection of blood into the space between the dura mater and the skull. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVSpinal epidural hematoma

Professional guidelines

PubMed

The Society for Obstetric Anesthesia and Perinatology Interdisciplinary Consensus Statement on Neuraxial Procedures in Obstetric Patients With Thrombocytopenia.
Bauer ME, Arendt K, Beilin Y, Gernsheimer T, Perez Botero J, James AH, Yaghmour E, Toledano RD, Turrentine M, Houle T, MacEachern M, Madden H, Rajasekhar A, Segal S, Wu C, Cooper JP, Landau R, Leffert L
Anesth Analg 2021 Jun 1;132(6):1531-1544. doi: 10.1213/ANE.0000000000005355. PMID: 33861047
Spinal Emergencies in Primary Care Practice.
Babu JM, Patel SA, Palumbo MA, Daniels AH
Am J Med 2019 Mar;132(3):300-306. Epub 2018 Oct 3 doi: 10.1016/j.amjmed.2018.09.022. PMID: 30291829
The Society for Obstetric Anesthesia and Perinatology Consensus Statement on the Anesthetic Management of Pregnant and Postpartum Women Receiving Thromboprophylaxis or Higher Dose Anticoagulants.
Leffert L, Butwick A, Carvalho B, Arendt K, Bates SM, Friedman A, Horlocker T, Houle T, Landau R, Dubois H, Fernando R, Houle T, Kopp S, Montgomery D, Pellegrini J, Smiley R, Toledo P; members of the SOAP VTE Taskforce
Anesth Analg 2018 Mar;126(3):928-944. doi: 10.1213/ANE.0000000000002530. PMID: 29099429

Recent clinical studies

Etiology

Postoperative Epidural Hematoma.
Djurasovic M, Campion C, Dimar JR 2nd, Glassman SD, Gum JL
Orthop Clin North Am 2022 Jan;53(1):113-121. Epub 2021 Oct 28 doi: 10.1016/j.ocl.2021.08.006. PMID: 34799017
Evaluation and Management of Cauda Equina Syndrome.
Kuris EO, McDonald CL, Palumbo MA, Daniels AH
Am J Med 2021 Dec;134(12):1483-1489. Epub 2021 Aug 30 doi: 10.1016/j.amjmed.2021.07.021. PMID: 34473966
The Society for Obstetric Anesthesia and Perinatology Interdisciplinary Consensus Statement on Neuraxial Procedures in Obstetric Patients With Thrombocytopenia.
Bauer ME, Arendt K, Beilin Y, Gernsheimer T, Perez Botero J, James AH, Yaghmour E, Toledano RD, Turrentine M, Houle T, MacEachern M, Madden H, Rajasekhar A, Segal S, Wu C, Cooper JP, Landau R, Leffert L
Anesth Analg 2021 Jun 1;132(6):1531-1544. doi: 10.1213/ANE.0000000000005355. PMID: 33861047
The Society for Obstetric Anesthesia and Perinatology Consensus Statement on the Anesthetic Management of Pregnant and Postpartum Women Receiving Thromboprophylaxis or Higher Dose Anticoagulants.
Leffert L, Butwick A, Carvalho B, Arendt K, Bates SM, Friedman A, Horlocker T, Houle T, Landau R, Dubois H, Fernando R, Houle T, Kopp S, Montgomery D, Pellegrini J, Smiley R, Toledo P; members of the SOAP VTE Taskforce
Anesth Analg 2018 Mar;126(3):928-944. doi: 10.1213/ANE.0000000000002530. PMID: 29099429
Spinal epidural hematoma.
Al-Mutair A, Bednar DA
J Am Acad Orthop Surg 2010 Aug;18(8):494-502. doi: 10.5435/00124635-201008000-00006. PMID: 20675642

Diagnosis

Postoperative Epidural Hematoma.
Djurasovic M, Campion C, Dimar JR 2nd, Glassman SD, Gum JL
Orthop Clin North Am 2022 Jan;53(1):113-121. Epub 2021 Oct 28 doi: 10.1016/j.ocl.2021.08.006. PMID: 34799017
Evaluation and Management of Cauda Equina Syndrome.
Kuris EO, McDonald CL, Palumbo MA, Daniels AH
Am J Med 2021 Dec;134(12):1483-1489. Epub 2021 Aug 30 doi: 10.1016/j.amjmed.2021.07.021. PMID: 34473966
The Society for Obstetric Anesthesia and Perinatology Interdisciplinary Consensus Statement on Neuraxial Procedures in Obstetric Patients With Thrombocytopenia.
Bauer ME, Arendt K, Beilin Y, Gernsheimer T, Perez Botero J, James AH, Yaghmour E, Toledano RD, Turrentine M, Houle T, MacEachern M, Madden H, Rajasekhar A, Segal S, Wu C, Cooper JP, Landau R, Leffert L
Anesth Analg 2021 Jun 1;132(6):1531-1544. doi: 10.1213/ANE.0000000000005355. PMID: 33861047
Spinal Emergencies in Primary Care Practice.
Babu JM, Patel SA, Palumbo MA, Daniels AH
Am J Med 2019 Mar;132(3):300-306. Epub 2018 Oct 3 doi: 10.1016/j.amjmed.2018.09.022. PMID: 30291829
Spinal epidural hematoma.
Al-Mutair A, Bednar DA
J Am Acad Orthop Surg 2010 Aug;18(8):494-502. doi: 10.5435/00124635-201008000-00006. PMID: 20675642

Therapy

A series of post-traumatic midline epidural hematoma and review of the literature.
Güçlü DG, Öztürk O, Çırak M, Can H, Ünal TC, Dolaş İ, Özgen U, Aydoseli A, Sencer A
Ulus Travma Acil Cerrahi Derg 2022 Jun;28(6):805-811. doi: 10.14744/tjtes.2020.28182. PMID: 35652865Free PMC Article
Spinal Emergencies in Primary Care Practice.
Babu JM, Patel SA, Palumbo MA, Daniels AH
Am J Med 2019 Mar;132(3):300-306. Epub 2018 Oct 3 doi: 10.1016/j.amjmed.2018.09.022. PMID: 30291829
The Society for Obstetric Anesthesia and Perinatology Consensus Statement on the Anesthetic Management of Pregnant and Postpartum Women Receiving Thromboprophylaxis or Higher Dose Anticoagulants.
Leffert L, Butwick A, Carvalho B, Arendt K, Bates SM, Friedman A, Horlocker T, Houle T, Landau R, Dubois H, Fernando R, Houle T, Kopp S, Montgomery D, Pellegrini J, Smiley R, Toledo P; members of the SOAP VTE Taskforce
Anesth Analg 2018 Mar;126(3):928-944. doi: 10.1213/ANE.0000000000002530. PMID: 29099429
Spinal Epidural Hematoma.
Patel S, Gupta P, Agrawal C, Ranjan R
J Assoc Physicians India 2016 Feb;64(2):63. PMID: 27730783
Anesthetic Complications in Pregnancy.
Hoefnagel A, Yu A, Kaminski A
Crit Care Clin 2016 Jan;32(1):1-28. doi: 10.1016/j.ccc.2015.08.009. PMID: 26600441

Prognosis

Vertex epidural hematoma: Diagnosis, therapeutic consideration and outcome.
Su TM, Lin CC, Lan CM, Lee TH, Hsu SW, Lu CH
Injury 2023 Jan;54(1):87-92. Epub 2022 Nov 14 doi: 10.1016/j.injury.2022.11.041. PMID: 36411102
Postoperative Epidural Hematoma.
Djurasovic M, Campion C, Dimar JR 2nd, Glassman SD, Gum JL
Orthop Clin North Am 2022 Jan;53(1):113-121. Epub 2021 Oct 28 doi: 10.1016/j.ocl.2021.08.006. PMID: 34799017
Spontaneous Spinal Epidural Hematoma Mimicking Stroke and Its Outcome post Intravenous Thrombolysis.
Szeto CLC, Hui KF
Cerebrovasc Dis 2022;51(2):265-269. Epub 2021 Sep 15 doi: 10.1159/000518525. PMID: 34535591
Spinal Cord Hemorrhage.
Shaban A, Moritani T, Al Kasab S, Sheharyar A, Limaye KS, Adams HP Jr
J Stroke Cerebrovasc Dis 2018 Jun;27(6):1435-1446. Epub 2018 Mar 16 doi: 10.1016/j.jstrokecerebrovasdis.2018.02.014. PMID: 29555403
Prognosis after spinal cord and cauda compression in spontaneous spinal epidural hematomas.
Bakker NA, Veeger NJ, Vergeer RA, Groen RJ
Neurology 2015 May 5;84(18):1894-903. Epub 2015 Apr 10 doi: 10.1212/WNL.0000000000001545. PMID: 25862799

Clinical prediction guides

Risk factors of epidural hematoma in patients undergoing spinal surgery: a meta-analysis of 29 cohort studies.
Luo M, Cao Q, Zhao Z, Shi Y, Yi Q, Chen J, Zeng X, Wang Z, Wang H, Yang Y, Chen J, Yang G, Zhou B, Liang C, Tan R, Wang D, Tang S, Huang J, Xiao Z, Mei Z
Int J Surg 2023 Oct 1;109(10):3147-3158. doi: 10.1097/JS9.0000000000000538. PMID: 37318854Free PMC Article
Vertex epidural hematoma: Diagnosis, therapeutic consideration and outcome.
Su TM, Lin CC, Lan CM, Lee TH, Hsu SW, Lu CH
Injury 2023 Jan;54(1):87-92. Epub 2022 Nov 14 doi: 10.1016/j.injury.2022.11.041. PMID: 36411102
A series of post-traumatic midline epidural hematoma and review of the literature.
Güçlü DG, Öztürk O, Çırak M, Can H, Ünal TC, Dolaş İ, Özgen U, Aydoseli A, Sencer A
Ulus Travma Acil Cerrahi Derg 2022 Jun;28(6):805-811. doi: 10.14744/tjtes.2020.28182. PMID: 35652865Free PMC Article
Spinal cord injury and spinal fracture in patients with ankylosing spondylitis.
Tu PH, Liu ZH, Yeap MC, Liu YT, Li YC, Huang YC, Lin TM, Chen CC
BMC Emerg Med 2022 May 2;22(1):73. doi: 10.1186/s12873-022-00635-3. PMID: 35501709Free PMC Article
Prognosis after spinal cord and cauda compression in spontaneous spinal epidural hematomas.
Bakker NA, Veeger NJ, Vergeer RA, Groen RJ
Neurology 2015 May 5;84(18):1894-903. Epub 2015 Apr 10 doi: 10.1212/WNL.0000000000001545. PMID: 25862799

Recent systematic reviews

Spontaneous Spinal Hematoma in Patients Using Antiplatelets and Anticoagulants: A Systematic Review.
Kumar N, Palmisciano P, Dhawan S, Boakye M, Drazin D, Sharma M
World Neurosurg 2024 Apr;184:e185-e194. Epub 2024 Jan 24 doi: 10.1016/j.wneu.2024.01.082. PMID: 38278210
SARS-CoV-2 infection and spontaneous spinal hemorrhage: a systematic review.
Sourani A, Vahdat N, Son C, Hariri OR, Rezvani M, Foroughi M, Mirza R, Sourani A, Baradaran Mahdavi S
Neurosurg Rev 2023 Nov 15;46(1):300. doi: 10.1007/s10143-023-02211-0. PMID: 37966587
Incidence of postoperative symptomatic spinal epidural hematoma requiring surgical evacuation: a systematic review and meta-analysis.
Chen Q, Zhong X, Liu W, Wong C, He Q, Chen Y
Eur Spine J 2022 Dec;31(12):3274-3285. Epub 2022 Oct 19 doi: 10.1007/s00586-022-07421-6. PMID: 36260132
Benefits and risks of epidural analgesia in cardiac surgery.
Landoni G, Isella F, Greco M, Zangrillo A, Royse CF
Br J Anaesth 2015 Jul;115(1):25-32. doi: 10.1093/bja/aev201. PMID: 26089444
Postoperative spinal epidural hematoma: a systematic review.
Glotzbecker MP, Bono CM, Wood KB, Harris MB
Spine (Phila Pa 1976) 2010 May 1;35(10):E413-20. doi: 10.1097/BRS.0b013e3181d9bb77. PMID: 20431474

Supplemental Content

Table of contents

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Related information

    • MeSH
      Related Medical Subject Headings
    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...