STUDY DESIGN: The clinical data of five @entity1 with spontaneous @entity4282 (SSEH) were reviewed. OBJECTIVES: To assess the clinical outcome of @entity1 with SSEH after surgical decompression. SUMMARY OF BACKGROUND DATA: The outcome in SSEH is essentially determined by the timing of the operation. Therefore, early and precise diagnosis is necessary. METHODS: A retrospective analysis of five @entity1 with SSEH was performed. The clinical data were stratified according to the Frankel Score. Special interest was given to the relevance of rapid and exact diagnosis and immediate therapeutic intervention. RESULTS: Diagnosis of SSEH was established preoperatively by means of computed tomography (one case) or magnetic resonance imaging (three @entity1 ) and intraoperatively in one case. Lumbar myelography had been false negative in one @entity1 , computed tomography false-negative in two @entity1 . Surgical decompression was performed in four @entity1 within 24 hours after the onset of symptoms. Favorable postoperative functional results were found only in one @entity1 whose symptoms had been present for less than 12 hours and in the case of an incomplete @entity1971 . CONCLUSIONS: The results of the current series demonstrate both the superiority of magnetic resonance imaging for diagnosis of SSEH as well as the necessity of early decompressive surgery in cases of sensorimotor paralysis after SSEH.

Acute nontraumatic XXXX . An important differential diagnosis in spinal emergencies.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1971 :: ('MESH:D011128', 'Disease') :: ['cauda equina syndrome'] @entity4282 :: ('MESH:D046748', 'Disease') :: ['spinal epidural hematoma']
@entity4282 :: (MESH:D046748,Disease) :: ['spinal epidural hematomas']
