OUTCOMES OF SPONTANEOUS EPIDURAL HEMATOMA TREATMENT AT VIET DUC UNIVERSITY HOSPITAL

Long Nguyễn Hoàng, Hoàng Bùi Minh

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Abstract

Objective: To describe the clinical characteristics, imaging findings, and treatment outcomes of spontaneous epidural hematoma at Viet Duc University Hospital. Methods: A retrospective descriptive study of case series of patients diagnosed with spontaneous epidural hematoma treated at Viet Duc University Hospital from March 2022 to March 2024. Results: Fourteen patients were included, with a male-to-female ratio of 2.5:1 and a mean age of 47.1 years (ranging from 15 to 88). Three patients (14.3%) had coagulopathy at admission, one of whom (7.1%) was on anticoagulant therapy. Thirteen patients (92.9%) presented with neck or back pain. All patients exhibited neurological deficits, with six patients being complete spinal cord injury (AIS A) and eight incomplete injury (AIS B/C). The majority of hematomas were located in the thoracic spine (50%) and posterior to the spinal cord (71.4%). The average length of the hematoma was 62.0 ± 39.2 mm, and the average width was 13.2 ± 16.0 mm. Thirteen cases (92.9%) underwent surgical decompression, while one case was treated conservatively (7.1%). Among the surgical cases, 84.6% showed improvement in neurological function. Complications occurred in one case (7.7%) involving superficial infection, and one patient (7.7%) died one month post-surgery due to pneumonia. Conclusion: Surgical treatment is the primary choice for cases with severe neurological deficits. Overall surgical outcomes are favorable; however, attention should be given to prognostic factors for appropriate indications.

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References

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