OBJECT: Spontaneous @entity4282 (SSEH) is a rare disease. The goal of this study was to clarify the treatment results and management options in SSEH. METHODS: @entity1 with SSEH who were surgically treated in the authors' center between June 2003 and June 2008 were included in this study. @entity1 were treated as early as possible if their @entity51 were incomplete or had been complete for 12 hours or less. The @entity1 were assigned to 1 of 2 groups based on completeness of preoperative @entity602 (complete vs incomplete deficit). Surgical outcomes of the 2 groups were compared by functional performance, coded as Nurick grades at 1, 3, and 6 months after the operation. Also compared were duration of hospital stay and the number of days needed to regain the ability to function independently (defined as Nurick Grades 1 and 2) after the operation. RESULTS: There were 17 @entity1 (7 female and 10 male) with pathologically confirmed SSEH. @entity1003 , greater size (length) of SSEH, and preoperative complete spinal dysfunction were found to contribute to poor postoperative functional recovery (p < 0.05). @entity1 with @entity51 (ASIA Impairment Scale Grades B, C, and D) were able to achieve functional independent recovery within a month after surgery and had significantly better outcomes (lower Nurick grades) at 1, 3, and 6 months postoperatively than those with @entity51 (p < 0.001, p = 0.027, and p = 0.027, respectively). Median time to independent functional recovery and median length of hospital stay were significantly shorter in @entity1 with @entity51 than in those with @entity51 (6 vs 110 and 9 vs 58 days, respectively; both p < 0.001). CONCLUSIONS: Impaired preoperative hemostasis contributes to larger size of SSEH, high probability of postoperative recurrence of @entity4282 , and poor functional recovery following surgical evacuation. Incomplete spinal @entity602 before surgery predicts good outcome and warrants emergent evacuation of SSEH especially in the cervical and thoracic regions, where the clots are located in proximity to the spinal cord.

Surgical treatment of spontaneous XXXX : a 5-year experience.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity4282 :: ('MESH:D046748', 'Disease') :: ['spinal epidural hematoma'] @entity602 :: ('MESH:D013118', 'Disease') :: ['cord dysfunction'] @entity1003 :: ('MESH:D001778', 'Disease') :: ['Coagulopathy'] @entity51 :: ('MESH:D009461', 'Disease') :: ['complete deficits', 'incomplete preoperative deficits', 'neurological deficits']
@entity4282 :: (MESH:D046748,Disease) :: ['spinal epidural hematoma']
