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World J Radiol. 2013 Aug 28;5(8):325-7. doi: 10.4329/wjr.v5.i8.325.

Resolution of epidural hematoma related to osteoporotic fracture after percutaneous vertebroplasty.

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  • 1Hidenari Hirata, Akio Hiwatashi, Takashi Yoshiura, Osamu Togao, Koji Yamashita, Hironori Kamano, Kazufumi Kikuchi, Hiroshi Honda, Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.


We are the first to report a case that showed spontaneous resolution of epidural hematoma which was related to a steroid-induced osteoporotic compression fracture. The patient had a painful fracture with an intravertebral cleft at L1 accompanying an epidural hematoma posteriorly. Immediate pain relief was achieved after percutaneous vertebroplasty. Complete resolution of hematoma was noted three months after procedure. We theorized that intravertebral stability after treatment might have played a role in this patient.


Epidural hematoma; Intravertebral cleft; Osteoporosis; Spinal canal compromise; Vertebroplasty

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