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  • Title: Metastatic carcinoma related long segment thoracic spinal epidural hematoma: a case report.
    Author: Lin HS, Chen SJ.
    Journal: Spine (Phila Pa 1976); 2009 Apr 01; 34(7):E266-8. PubMed ID: 19333092.
    Abstract:
    STUDY DESIGN: Case report. OBJECTIVE: To report a long segment epidural hematoma with thoracic cord compression caused by a metastatic carcinoma. SUMMARY OF BACKGROUND DATA: To our knowledge, there have been no previous reports of spontaneous spinal epidural hematoma caused by metastatic carcinoma. METHODS: A 60-year-old woman with back pain and progressive leg weakness suddenly developed complete paraplegia and anesthesia below T8. A thoracic spine MRI showed an epidural hematoma and metastatic tumor. We describe the clinical course, radiographic imaging, operative findings, and treatment results. RESULTS: Despite immediate surgery, the patient failed to have any significant improvement in her neurologic symptoms. A previously unsuspected primary lung tumor was diagnosed. She died 6 months after spine surgery. CONCLUSION: Spinal epidural hematoma can occur in association with metastatic tumors in that area.
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