Traumatic lumbar hematomyelia causing spinal shock: A case report
Dublin Core
Title
Traumatic lumbar hematomyelia causing spinal shock: A case report
Subject
case report; spinal shock; traumatic hematomyelia
Description
Background: Spinal cord hemorrhage or hematomyelia can arise from
trauma or non-trauma causes, adverse effect of anticoagulation therapy
and ruptured vascular malformation. Bleeding in epidural space is common
and complications such as acute spinal cord syndrome can arise due to the
compression and destruction of the spinal cord. Symptoms of hematomyelia
might be varied depending on location of the lesion, often accompanied with
acute radicular pain. In this case study, we reported a case of spinal shock
after traumatic lumbar hematomyelia.
Case: A 13-year-old girl presented to Dr. Moewardi General Hospital with
inferior paraparesis, bladder and bowel incontinence, a day after falling on
her gluteus. Physical examination revealed reduced motoric and sensory
function below 12th thoracal dermatome, with no patellar and reduced
Achilles reflexes. Conventional X-ray was unremarkable and further
investigation with MRI showed a hematoma on thoracal 10 to 12 vertebrae.
Motor and sensory functions were improved after 12 days administration of
corticosteroids and further improvement was seen almost immediately after
decompression surgery.
Objective: To describe a case of spinal shock caused by traumatic lumbar
hematomyelia
Method: This is a case report study describing spinal shock which improved
after administration of corticosteroid and decompression surgery.
Conclusion: Spinal shock could be caused by traumatic lumbar
hematomyelia, which is characterized by loss of motor, sensory, and bladder
function, and decompression surgery improved the prognosis.
trauma or non-trauma causes, adverse effect of anticoagulation therapy
and ruptured vascular malformation. Bleeding in epidural space is common
and complications such as acute spinal cord syndrome can arise due to the
compression and destruction of the spinal cord. Symptoms of hematomyelia
might be varied depending on location of the lesion, often accompanied with
acute radicular pain. In this case study, we reported a case of spinal shock
after traumatic lumbar hematomyelia.
Case: A 13-year-old girl presented to Dr. Moewardi General Hospital with
inferior paraparesis, bladder and bowel incontinence, a day after falling on
her gluteus. Physical examination revealed reduced motoric and sensory
function below 12th thoracal dermatome, with no patellar and reduced
Achilles reflexes. Conventional X-ray was unremarkable and further
investigation with MRI showed a hematoma on thoracal 10 to 12 vertebrae.
Motor and sensory functions were improved after 12 days administration of
corticosteroids and further improvement was seen almost immediately after
decompression surgery.
Objective: To describe a case of spinal shock caused by traumatic lumbar
hematomyelia
Method: This is a case report study describing spinal shock which improved
after administration of corticosteroid and decompression surgery.
Conclusion: Spinal shock could be caused by traumatic lumbar
hematomyelia, which is characterized by loss of motor, sensory, and bladder
function, and decompression surgery improved the prognosis.
Creator
Raden Andi Ario Tedjo* , Lawly Arrel Dionnie Greatalya , Vivienne
Tjung, Muhammad Hafizhan , Stefanus Erdana Putra , Suroto Suroto
, Diah Kurnia Mirawati , Subandi Subandi , Rivan Danuaji , Pepi
Budianto , Yetty Hambarsari , Baarid Luqman Hamidi , Hanindia
Riani Prabaningtyas , Ervina Arta Jayanti Hutabarat , Ira Ristinawati
, Teddy Tejomukti
Tjung, Muhammad Hafizhan , Stefanus Erdana Putra , Suroto Suroto
, Diah Kurnia Mirawati , Subandi Subandi , Rivan Danuaji , Pepi
Budianto , Yetty Hambarsari , Baarid Luqman Hamidi , Hanindia
Riani Prabaningtyas , Ervina Arta Jayanti Hutabarat , Ira Ristinawati
, Teddy Tejomukti
Source
http://jkp.fkep.unpad.ac.id/index.
php/jkp
php/jkp
Date
December 01, 2023
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Collection
Citation
Raden Andi Ario Tedjo* , Lawly Arrel Dionnie Greatalya , Vivienne
Tjung, Muhammad Hafizhan , Stefanus Erdana Putra , Suroto Suroto
, Diah Kurnia Mirawati , Subandi Subandi , Rivan Danuaji , Pepi
Budianto , Yetty Hambarsari , Baarid Luqman Hamidi , Hanindia
Riani Prabaningtyas , Ervina Arta Jayanti Hutabarat , Ira Ristinawati
, Teddy Tejomukti, “Traumatic lumbar hematomyelia causing spinal shock: A case report,” Repository Horizon University Indonesia, accessed February 10, 2026, https://repository.horizon.ac.id/items/show/10662.