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Atypisk præsentation af spontant epiduralt hæmatom


Mathias Olaf Thorvaldsen1, Sjöfn Þórisdóttir2, Henrik Boye Jensen2 & Torben Sloth Jensen1

1) Neurokirurgisk Afdeling, Odense Universitetshospital, 2) Neurologisk Afdeling, Kolding Sygehus

Ugeskr Læger 2020;182:V11190633

Ugeskr Læger 2020;182:V11190633
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Atypical presentation of spontaneous spinal epidural haematoma

Mathias Olaf Thorvaldsen, Sjöfn Þórisdóttir, Henrik Boye Jensen & Torben Sloth Jensen:

Ugeskr Læger 2020;182:V11190633

Spontaneous spinal epidural haematoma is a rare condition with serious long- term effects. It has no proven causes but is associated with use of blood thinners, coagulopathies, underlying vascular malformations or tumours, and pregnancy. This is a case report of a 57-year-old woman with an atypical presentation, where an intracranial condition was suspected. The case is presented to increase awareness of the condition as a differential diagnosis, when stroke or subarachnoid haemorrhage is ruled out, and how important it is to refer these patients to an acute spinal MRI to avoid further neurological deterioration.

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