Case Diagnosis: Spinal Epidural Hematoma
The patient developed acute onset of low back pain during a routine figure skating practice. She did report falling during her practice, which was typical for her. Within hours, her symptoms progressed to numbness and weakness in the bilateral lower extremities. Imaging of the spine revealed a dorsal epidural hemorrhage at T11-L1. She underwent emergent surgical decompression with T11-L1 laminectomy and hematoma evacuation. She is undergoing a hematologic work-up, though there is no family history of bleeding disorders. Physical examination in acute care revealed a T12 ASIA A spinal cord injury (SCI).
Melanie Mackeben– Resident Physician, Shirley Ryan AbilityLab
Charles Sisung– Medical Director Pediatric Innovation Center, Shriley Ryan Abilitylab
Laura Black– Assistant Professor of Clinical Pediatrics, Division of Pediatric Physical Medicine and Rehabilitation