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Nephrol Dial Transplant (1999) 14: 2499-2501
© 1999 European Renal Association-European Dialysis and Transplant Association


The Interesting Case

A case of acute spontaneous epidural haematoma in a chronic renal failure patient undergoing haemodialysis: successful outcome with surgical management

Keiko Takahashi, Fumihiko Koiwa, Hironori Tayama, Akiyo Satomi, Tadao Akizawa and Terukuni Ideura

Department of Internal Medicine, Division of Nephrology, Showa University Fujigaoka Hospital, Yokohama, Japan

Correspondence and offprint requests to: Keiko Takahashi, Department of Internal Medicine, Division of Nephrology, Showa University Fujigaoka Hospital,Yokohama, Japan.

Keywords: chronic renal failure; haemodialysis; MRI; spontaneous spinal epidural haematoma; surgical decompression

Introduction

The incidence of spinal epidural haematoma is rare. Neurological disorders resulting from compression of the spinal cord frequently are irreversible unless the patient is adequately treated rapidly after onset [1].

We report on a haemodialysis patient with spinal epidural haematoma with a successful outcome due to surgical management 12 h after onset.

Case

A 67-year-old female with end-stage renal disease (ESRD) undergoing haemodialysis was admitted to our hospital because of severe back pain and lumbago. She had suffered ESRD due to polycystic kidney disease and received regular haemodialysis treatment for 9 years. She had a history of hypertension for >10 years and angina pectoris for 3 years.

On May 19, 1997, 1 h after . . . [Full Text of this Article]

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Emerg. Med. J.Home page
O A Labeodan
Spinal epidural haematoma mimicking spontaneous subarachnoid haemorrhage
Emerg. Med. J., August 1, 2005; 22(8): 606 - 607.
[Abstract] [Full Text] [PDF]