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Journal of Korean Neurosurgical Society > Volume 49(4); 2011 > Article
Journal of Korean Neurosurgical Society 2011;49(4): 231-233.
doi: https://doi.org/10.3340/jkns.2011.49.4.231
Chronic Spinal Epidural Hematoma Related to Kummell's Disease.
Heyun Sung Kim, Seok Ki Lee, Seok Won Kim, Ho Shin
1Department of Neurosurguery, Heori Sarang Hospital, Daejeon, Korea.
2Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chosun University, Gwangju, Korea.
3Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea. ns64902@hanmail.net
ABSTRACT
Chronic spinal epidural hematoma related to Kummell's disease is extremely rare. An 82-year-old woman who had been managed conservatively for seven weeks with the diagnosis of a multi-level osteoporotic compression fracture was transferred to our institute. Lumbar spine magnetic resonance images revealed vertebral body collapse with the formation of a cavitary lesion at L1, and a chronic spinal epidural hematoma extending from L1 to L3. Because of intractable back pain, a percutaneous vertebroplasty was performed. The pain improved dramatically and follow-up magnetic resonance imaging obtained three days after the procedure showed a nearly complete resolution of the hematoma. Here, we present the rare case of a chronic spinal epidural hematoma associated with Kummell's disease and discuss the possible mechanism.
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