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A Case of Spinal Epidural Hematoma due to Arteriovenous Malformation

Journal of the Korean Pediatric Society 1996;39(3):436-440.
Published online March 15, 1996.
A Case of Spinal Epidural Hematoma due to Arteriovenous Malformation
Yoon Hee Lee1, Se Wook Oh1, Sang Woo Kim1, Yi Kyeong Chun2
1Department of Pediatrics, College of Medicine, Inje University, Seoul, Korea
2Department of Pathology, Seoul National University College of Medicine, Seoul, Korea
동정맥 기형으로 인한 척추 경막외 혈종 1례
이윤희1, 오세욱1, 김상우1, 전이경2
1인제대학교 의과대학 소아과학교실
2서울대학교 의과대학 해부병리학교실
Abstract
Spinal epidural hematoma results from various causes such as use of anticoagulants, hemorrhagic diathesis, pregnancy, labor, arteriovenous malformation and spinal anesthesia as well as idiopathic orgin. We report a 3-year-old boy who was found to have spinal epidural hematoma and presented with lower back pain and fever. He developed paraplegia of lower legs after two consecutive lumbar punctures during two days. The lesion of spinal epidural hematoma was not found with lumbar spinal MRI but with cervico-thorasic one, because the lesion was at the C7-T6 level. Laminectomy was done to evacuate the hematoma and some specimen was obtained, of which pathologic finding was arteriovenous malformation. The boy is receiving physical therapy continuously due to unsatisfactory results with hematoma aspiration procedure and laminectomy treatment.
Key Words: Arteriovenous malformation, Spine, Epidural hematoma Lumbar puncture, Paraplegia


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