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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893


DAVALOS ORTIZ, José Carlos; SOBARZO VYSOKOLAN, Patricia María  and  GARCETE ESPINOLA, Jazmín Soledad. Adult with spontaneous epidural spinal hematoma. Rev. virtual Soc. Parag. Med. Int. [online]. 2022, vol.9, n.1, pp.118-121. ISSN 2312-3893.

The spinal hematoma spinal is a infrequent clinical entity. A high clinical suspicion is needed for early diagnosis and timely treatment. It usually presents as a sudden neurological deterioration due to mechanical spinal cord compression caused by blood in the spinal canal. We present the case of a 53-year-old male patient, a daily consumer of alcoholic beverages (Paraguayan rum) who presented sudden neurological deterioration compromising upper and lower limbs. Magnetic resonance imaging leads to a diagnosis of epidural hematoma at the C4-C5 level and compressive myelopathy of the adjacent segments.

Keywords : spinal epidural hematoma; alcoholic liver disease; spinal cord compression.

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