Global Spine J 2014; 04(02): 105-108
DOI: 10.1055/s-0033-1360722
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Spinal Epidural Hematoma Caused by Pseudogout: A Case Report and Literature Review

R. M. deSouza1, C. Uff1, M. Galloway2, N. L. Dorward1
  • 1Department of Neurosurgery, Royal Free Hospital, London, United Kingdom
  • 2Department of Pathology, Royal Free Hospital, London, United Kingdom
Further Information

Publication History

17 March 2013

20 September 2013

Publication Date:
22 November 2013 (eFirst)

Abstract

Study Design Case report.

Objective We present the first reported case of spontaneous spinal epidural hematoma secondary to calcium pyrophosphate crystal deposition disease (pseudogout) in a 75-year-old woman.

Methods A retrospective review of the patient's case notes was undertaken and the limited literature on this subject reviewed.

Results This patient presented with sudden-onset lower limb paresis, sensory loss, urinary retention, and back pain. Magnetic resonance imaging showed an epidural hematoma, which was evacuated. Histologic specimens of the clot showed calcium pyrophosphate dihydrate crystal deposits (pseudogout).

Conclusion The importance of histopathologic review of surgical specimens is highlighted when considering the differential diagnosis of apparently spontaneous spinal epidural hematoma.