Plamen Penchev
Medical University of Plovdiv, BulgariaTitle: Spinal Epidural Hematoma Masqueraded as Epidural Tumor: a Case Report and Review of Literature
Abstract
A spinal epidural hematoma is
a rare clinical entity that affects one in every 1,000,000 patients
annually on average. The lesion can cause spinal cord compression or
cauda equina syndrome . We describe a clinical case of a 69-year-old man who,
two months after falling in the restroom, complained of pain and weakness in
both legs to the Neurosurgery Clinic of the General Hospital for Active
Treatment "Dobrich." A formation in the L2-L3 epidural space and an
L2-L3 fracture that was compressing the nerve roots were discovered by MRI. The
formation was determined to be a hematoma during the surgical procedure, which
was carried out under general anesthesia. The hematoma was aspirated, and the
spinal canal was decompressed. Due to a
complete laminectomy and possible instability, an L2-L3 stabilization using
pedicle screws was performed. Following surgery, no complications related to
the procedure were noted, and the patient was discharged the day following the
intervention. On the fifth day, the patient's symptoms subsided and he was
allowed to go home. The patient began to have left leg pain six months after
surgery. The patient was referred to orthopedics for additional treatment after
radiography revealed coxarthrosis in the left hip joint.
Biography
Plamen Penchev
is a fourth-year medical student at the Medical University of Plovdiv,
Bulgaria. He is the president and co-founder of the Bulgarian students club of
neuroscience “Neurologica”. Currently, he has published 10 articles and has 23
abstracts presented with oral presentations at conferences in Bulgaria and
Europe in some of which he has won prizes for best presentation. Most recently,
he won 1st place at the International Trauma Conference in London,
UK. He is a peer-reviewer at Open Access Macedonian Journal of Medical Sciences
for which he has written 10 peer reviews for articles in the field of
neurosurgery. He is a member of the international neurosurgical society “Walter
Dandy” and the European Association of Neurosurgical Societies.
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