Spinal Hematoma

A spinal hematoma is a collection of blood that compresses the spinal cord and nerve roots. Significant compression of the spinal cord can result in irreversible neurologic damage. Symptoms may include pain, weakness, numbness, difficulty walking, loss of bowel and/or bladder control, or paralysis. Symptoms that occur from a spinal hematoma should alert the patient to seek immediate neurosurgical evaluation. Without treatment, permanent loss of neurologic function or paralysis may occur. Efforts should be made toward controlling the bleeding and decompressing the blood clot from the neural elements.

Causes of Spinal Hematoma

Anything that results in hemorrhage around the spinal cord may produce a spinal hematoma. Causes include trauma, tumors, anticoagulation medication, coagulopathy, lumbar puncture procedure, hypertensive crisis, or other neurologic insults.

Treatment for Spinal Hematoma

WARNING: If patients or healthcare providers suspect a spinal hematoma, emergent neurosurgical evaluation is warranted!

Treatment efforts are directed toward controlling the hemorrhage and by surgically removing the blood clot or hematoma from the spinal cord. This may involve performing a laminectomy or removing the lamina of the spinal column in an effort to access the hematoma and remove the pressure from the spinal cord. In other cases, evacuation of the spinal hematoma may require an incision in the dura (intradural hematoma) or spinal cord (intramedullary hematoma) depending on where the hematoma is located.

At Princeton Neurological Surgery, Dr. Lipani is a board certified fellowship trained spine surgeon in New Jersey who performs minimally invasive spine surgery as well as complex spinal procedures. Dr. Lipani is a specialist in the treatment for spinal hematoma and many other spinal conditions such as spinal stenosis, herniated discs, degenerative disc disease, low back pain, neck pain, spinal tumors, spinal cancer and more. Dr. Lipani treats patients from around the world, New York, Pennsylvania, and New Jersey including locally from Princeton, New Brunswick, Hopewell, Pennington and communities throughout Somerset, Middlesex, Ocean, Burlington, Monmouth and Mercer Counties for spinal hematoma. Dr. Lipani offers image guided spine surgery approaches for spinal hematoma treatment, tailored to the needs of each patient. For state-of-the-art spinal hematoma treatment, call or email us to schedule a consultation at our offices in Hamilton, New Jersey or Bridgewater, New Jersey!

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