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Coagulation studies were within normal limits. This profound bleeding is suspected to have occurred from disrupted epidural blood vessels, which may have been congested secondary to the patient\u2019s history of pulmonary hypertension. The patient was treated with emergent spinal decompression and haematoma evacuation with a resolution of presenting symptoms. This case underscores the importance of pre-implantation MRI to better characterise the anatomy of patients considering SCS to help limit adverse effects during implantation.<\/jats:p>","DOI":"10.1136\/bcr-2025-268333","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T15:30:30Z","timestamp":1768231830000},"page":"e268333","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Compressive cervicothoracolumbar epidural haematoma following lead insertion for spinal cord stimulator trial"],"prefix":"10.1136","volume":"19","author":[{"given":"Alec M","family":"Giakas","sequence":"first","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, USA"},{"name":"Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8343-1292","authenticated-orcid":false,"given":"Molly E","family":"Milano","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey A","family":"Gehret","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, USA"},{"name":"Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey A","family":"Rihn","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, USA"},{"name":"Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,1,12]]},"reference":[{"key":"2026011207300899000_19.1.e268333.1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1991.75.3.0402"},{"key":"2026011207300899000_19.1.e268333.2","doi-asserted-by":"publisher","DOI":"10.1126\/science.150.3699.971"},{"key":"2026011207300899000_19.1.e268333.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1533-2500.2012.00579.x"},{"key":"2026011207300899000_19.1.e268333.4","doi-asserted-by":"publisher","DOI":"10.1111\/papr.12692"},{"key":"2026011207300899000_19.1.e268333.5","unstructured":"Neurostimulation devices market size, share report, 2030. 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