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Case Reports in Surgery
Volume 2016, Article ID 5430708, 4 pages
http://dx.doi.org/10.1155/2016/5430708
Case Report

Idiopathic Thoracic Spontaneous Spinal Epidural Hematoma

1Neurosurgery Department, Yuzuncu Yil University Faculty of Medicine, Van, Turkey
2Department of Neurosurgery, Van District Training and Research Hospital, 65100 Van, Turkey
3Department of Radiology, Van District Training and Research Hospital, 65100 Van, Turkey
4Department of Anesthesiology and Reanimation, Van District Training and Research Hospital, 65100 Van, Turkey

Received 24 December 2015; Accepted 1 March 2016

Academic Editor: Christoph Schmitz

Copyright © 2016 Abdurrahman Aycan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 33-year-old male patient experienced temporary sensory loss and weakness in the right lower extremity one month prior to admission. The patient was admitted to a private clinic with a three-day history of acute onset of sensory loss and weakness in both lower extremities and was treated and followed up with a prediagnosis of transverse myelitis and the Guillain-Barre syndrome (GBS). The patient was subsequently transferred to our clinic and the neurologic examination revealed paraplegia in both lower extremities, positive bilateral Babinski signs, and hypesthesia below the T10 dermatome with saddle anesthesia. The patient had urinary incontinence and thoracic magnetic resonance imaging (MRI) showed an image of a mass compressing the medulla.