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NEUROLOGY 1978;28:224
© 1978 American Academy of Neurology

Recovery from paraplegia caused by spontaneous spinal epidural hematoma

IRVINE G. MCQUARRIE, M.D., Ph.D.

Departments of Surgery (Neurosurgery) and Physiology, Cornell University Medical College, New York, New York.

Three surgically treated cases of paraplegia caused by spontaneous spinal epidural hematoma are reported, along with summarized findings from 32 previously reported cases. Patients who recovered within 6 months had endured a shorter interval between loss of their ability to walk and surgical decompression than patients who did not recover (26 hours versus 48 hours; p < 0.02). When this interval exceeded approximately 36 hours, the probability of recovery fell below 50 percent.

Dr. McQuarrie's address is Cornell University Medical College, New York, NY 10021.

This study was supported in part by USPHS grants NS-01043 and NS-09015 from the National Institute of Neurological and Communicative Disorders and Stroke.

Accepted for publication September 26, 1977.




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