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Thoracic epidural haematoma due to a subclavian steal syndrome and secondary formed thoracic collateral circuits, coincidence or consequence: a case report

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Abstract

Despite profound diagnostics, the aetiology of spinal epidural haematoma (SEH) often remains unknown. In this case, diagnostics revealed an SEH at the fifth and sixth thoracic levels due to a subclavian steal syndrome with a tortuous vascular loop between the sixth thoracic intercostal artery and the costocervical arteries deriving from the left subclavian artery with plump arteries in the epidural space. The patient underwent decompression surgery and a percutaneous transluminal angioplasty. The patient showed good recovery at follow-up. The SEH was a result of secondary formed thoracic collateral circuits with epidural involvement due to a subclavian steal syndrome.

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Acknowledgements

We would like to thank Dr. S.G. van Duinen for his contribution on the histological examination and illustration.

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No funding was received for this research.

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Authors and Affiliations

  1. Department of Neurosurgery, Haaglanden Medical Centre, Lijnbaan 32, 2512 VA, The Hague, The Netherlands

    Ravian K. R. W. Wettstein, Wouter A. Moojen & Rishi Nandoe Tewarie

  2. Department of Radiology, Haaglanden Medical Centre, The Hague, The Netherlands

    Bas F. W. van der Kallen

  3. Department of Neurosurgery, Haga Teaching Hospital, The Hague, The Netherlands

    Wouter A. Moojen

  4. Department of Neurosurgery, Leiden University Medical Center, Leiden, The Netherlands

    Wouter A. Moojen & Rishi Nandoe Tewarie

Authors
  1. Ravian K. R. W. Wettstein
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  2. Bas F. W. van der Kallen
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  3. Wouter A. Moojen
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  4. Rishi Nandoe Tewarie
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Correspondence to Ravian K. R. W. Wettstein.

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Wettstein, R.K.R.W., van der Kallen, B.F.W., Moojen, W.A. et al. Thoracic epidural haematoma due to a subclavian steal syndrome and secondary formed thoracic collateral circuits, coincidence or consequence: a case report. Acta Neurochir 160, 205–208 (2018). https://doi.org/10.1007/s00701-017-3402-y

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  • DOI: https://doi.org/10.1007/s00701-017-3402-y

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