Spontaneous spinal epidural hematoma as the initial presentation of leukemia.
Posted by rob on November 18, 2009 under Uncategorized | 
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Spontaneous spinal epidural hematoma as the initial presentation of leukemia.
Eur Spine J. 2009 Jul;18 Suppl 2:220-3
Authors: Nojiri H, Kim S, Tsuji T, Uta S
We present a case of a 55-year-old male with progressive neurological deficits that appeared dramatically. MRI detected a spinal epidural hematoma at the cervicothoracic junction and blood tests showed leukocytosis, mild anemia, and thrombocytosis. Spontaneous spinal epidural hematoma (SSEH) as the initial presentation of leukemia was diagnosed. Urgent posterior decompression was performed after 28 h from acute onset of backache, and the patient experienced remarkable improvement in neurological findings.
PMID: 19127372 [PubMed - indexed for MEDLINE]