Lucky Patel, Shekher Mohan, Justin Dumont, James Reynolds
{"title":"Spinal Epidural Hematoma Managed Conservatively After a Spinal Cord Stimulation Trial: A Case Report.","authors":"Lucky Patel, Shekher Mohan, Justin Dumont, James Reynolds","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Spinal cord stimulation (SCS) is used to treat chronic pain but carries a rare risk of spinal epidural hematoma (SEH), which can cause serious neurologic injury. Urgent surgical decompression is often considered when neurologic deficits develop.</p><p><strong>Case report: </strong>A 73-year-old man developed severe back pain during an SCS trial and was found to have a thoracolumbar SEH after trial lead removal. He remained neurologically stable during hospitalization and was managed with close observation. His pain improved, and follow-up imaging showed a reduction in the hematoma without surgery.</p><p><strong>Conclusions: </strong>This case illustrates conservative management of SEH in a neurologically stable patient with close monitoring. Further evidence is needed to define which patients may be managed without surgical decompression.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 7","pages":"649-652"},"PeriodicalIF":0.0000,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain medicine case reports","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Spinal cord stimulation (SCS) is used to treat chronic pain but carries a rare risk of spinal epidural hematoma (SEH), which can cause serious neurologic injury. Urgent surgical decompression is often considered when neurologic deficits develop.
Case report: A 73-year-old man developed severe back pain during an SCS trial and was found to have a thoracolumbar SEH after trial lead removal. He remained neurologically stable during hospitalization and was managed with close observation. His pain improved, and follow-up imaging showed a reduction in the hematoma without surgery.
Conclusions: This case illustrates conservative management of SEH in a neurologically stable patient with close monitoring. Further evidence is needed to define which patients may be managed without surgical decompression.
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