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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos un caso excepcional de estenosis de canal lumbar con s&#237;ndrome de cola de caballo por un hematoma cr&#243;nico espont&#225;neo en el espacio epidural L2-L3&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se trata de un var&#243;n de 53 a&#241;os que&#44; sin ninguna clase de antecedente patol&#243;gico relacionado con el problema actual &#40;traumatismos&#44; punciones lumbares&#44; toma de antiagregantes o anticoagulantes&#41;&#44; presenta una colecci&#243;n hem&#225;tica epidural que va comprimiendo progresivamente la cola de caballo&#46; Las pruebas de imagen mostraron una colecci&#243;n polilobulada&#44; bien delimitada&#44; que se interpret&#243; como quiste sinovial&#46; Tras la cirug&#237;a &#40;laminectom&#237;a descompresiva y evacuaci&#243;n&#41; se confirm&#243; el diagn&#243;stico con estudio histol&#243;gico&#46; Tras la operaci&#243;n se recuper&#243; por completo la funci&#243;n neurol&#243;gica&#46;</p>"
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Vol. 16. Núm. 6.
Páginas 533-535 (enero 2004)
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Vol. 16. Núm. 6.
Páginas 533-535 (enero 2004)
Hematoma epidural lumbar crónico espontáneo
Chronic spontaneous lumbar epidural hematoma
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1555
J.M. Belinchón
, J. Campos, J. Merino, J.M. Gallego, C. Barcia
Servicio de Neurocirugía. Consorcio Hospital General Universitario, Universidad de Valencia
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Resumen

Presentamos un caso excepcional de estenosis de canal lumbar con síndrome de cola de caballo por un hematoma crónico espontáneo en el espacio epidural L2-L3.

Se trata de un varón de 53 años que, sin ninguna clase de antecedente patológico relacionado con el problema actual (traumatismos, punciones lumbares, toma de antiagregantes o anticoagulantes), presenta una colección hemática epidural que va comprimiendo progresivamente la cola de caballo. Las pruebas de imagen mostraron una colección polilobulada, bien delimitada, que se interpretó como quiste sinovial. Tras la cirugía (laminectomía descompresiva y evacuación) se confirmó el diagnóstico con estudio histológico. Tras la operación se recuperó por completo la función neurológica.

Palabras clave:
Hematoma epidural
Crónico
Lumbar
Espontáneo
Laminectomía
Summary

We report an exceptional case of cauda equina syndrome, caused by a chronic epidural hematoma of the lumbar spine, (L2-L3). A 53 year old man without history of trauma, lumbar punctures or antiagregant medication, suffered from progressive back pain and minor motor deficit in the legs. The etiology, MRI, intraoperative findings and microscopical study are presented and discussed. After surgery there was a complete resolution of the clinical picture.

Key words:
Chronic
Epidural
Spontaneous
Hematoma
Laminectomy

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