Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 16, 2021; 9(14): 3411-3417
Published online May 16, 2021. doi: 10.12998/wjcc.v9.i14.3411
Acute spontaneous thoracic epidural hematoma associated with intraspinal lymphangioma: A case report
Kai-Jay Chia, Li-Han Lin, Ming-Tse Sung, Tsung-Ming Su, Jin-Fu Huang, Hsiang-Lin Lee, Wen-Wei Sung, Tsung-Han Lee
Kai-Jay Chia, Tsung-Ming Su, Jin-Fu Huang, Tsung-Han Lee, Division of Neurosurgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan
Li-Han Lin, Department of Radiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan
Ming-Tse Sung, Department of Pathology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan
Hsiang-Lin Lee, Department of Surgery, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
Wen-Wei Sung, Department of Urology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
Author contributions: Chia KJ and Lee TH played a major role in the acquisition of data; Lin LH, Sung MT, Su TM, Huang JF and Lee HL interpreted the patient data; Chia KJ and Lee TH contributed in writing the manuscript; Lin LH, Sung MT, Sung WW and Lee TH revised the manuscript for intellectual content; all authors read and approved the final manuscript.
Informed consent statement: The patient has provided informed consent for publication of the case.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tsung-Han Lee, MD, PhD, Neurosurgeon, Division of Neurosurgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, No. 123 Dapi Road, Niaosong District, Kaohsiung 83301, Taiwan. tsunghan927@gmail.com
Received: December 3, 2020
Peer-review started: December 3, 2020
First decision: January 10, 2021
Revised: January 24, 2021
Accepted: March 20, 2021
Article in press: March 20, 2021
Published online: May 16, 2021
Processing time: 147 Days and 2.6 Hours
Core Tip

Core Tip: This case suffered from acute spontaneous thoracic epidural hematoma caused by an intraspinal lymphangioma presenting with complete paraplegia in both legs and loss of all sensation below the xiphoid process. A posteriorly epidural space-occupying lesion at the T4-T8 level of the spinal canal was relieved via decompressive laminectomy in time and the symptoms recovered well within one month.