{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T00:05:14Z","timestamp":1758931514119,"version":"3.44.0"},"reference-count":5,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Spontaneous spinal epidural hematoma in the lumbar spine is rare, and its occurrence in conjunction with acute disc herniation is exceptionally uncommon.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 63-year-old male with chronic back pain experienced sudden exacerbation and progressive bilateral lower limb weakness. Magnetic resonance imaging with contrast revealed a sequestrated L2\/3 disc and adjacent epidural hematoma compressing the thecal sac. Minimally invasive decompression and hematoma evacuation were performed. A ruptured epidural vein was identified intraoperatively. Neurological improvement was immediate, and the patient was discharged on postoperative day 2.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>This case underscores a rare etiology of cauda equina syndrome and highlights the importance of prompt diagnosis and minimally invasive surgical intervention for optimal outcomes.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_791_2025","type":"journal-article","created":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T07:19:00Z","timestamp":1758871140000},"page":"409","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous lumbar epidural hematoma induced by acute disc herniation: A rare cause of cauda equina syndrome successfully treated with minimally invasive surgery \u2013 A case report"],"prefix":"10.25259","volume":"16","author":[{"given":"Bader Omar","family":"Obeidat","sequence":"first","affiliation":[{"name":"Department of Spinal Surgery, Neuro-Spinal Clinic, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bashar","family":"Altunbi","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, SBU Health Board, Port Talbot, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fanar","family":"Jaradat","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, Neuro-Spinal Clinic, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,9,26]]},"reference":[{"key":"10.25259\/SNI_791_2025\/ref-1","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/0022-510X(90)90253-J","article-title":"The spontaneous spinal epidural hematoma. A study of the etiology","volume":"98","author":"Groen","year":"1990","journal-title":"J Neurol Sci"},{"key":"10.25259\/SNI_791_2025\/ref-2","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.surneu.2007.02.019","article-title":"Spontaneous spinal epidural hematoma: Analysis of 23 cases","volume":"69","author":"Liu","year":"2008","journal-title":"Surg Neurol"},{"key":"10.25259\/SNI_791_2025\/ref-3","first-page":"512","article-title":"Lumbar disc herniation associated with spinal epidural hematoma","volume":"47","author":"Matsumura","year":"2009","journal-title":"Spinal Cord"},{"key":"10.25259\/SNI_791_2025\/ref-4","first-page":"851","article-title":"Spontaneous spinal epidural hematoma: MR and clinical correlation","volume":"23","author":"Swarnkar","year":"1999","journal-title":"J Comput Assist Tomogr"},{"key":"10.25259\/SNI_791_2025\/ref-5","first-page":"760","article-title":"Disc herniation associated with epidural hematoma","volume":"16","author":"Yildizhan","year":"1991","journal-title":"Spine (Phila Pa 1976)"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/spontaneous-lumbar-epidural-hematoma-induced-by-acute-disc-herniation-a-rare-cause-of-cauda-equina-syndrome-successfully-treated-with-minimally-invasive-surgery-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/spontaneous-lumbar-epidural-hematoma-induced-by-acute-disc-herniation-a-rare-cause-of-cauda-equina-syndrome-successfully-treated-with-minimally-invasive-surgery-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T07:19:02Z","timestamp":1758871142000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/spontaneous-lumbar-epidural-hematoma-induced-by-acute-disc-herniation-a-rare-cause-of-cauda-equina-syndrome-successfully-treated-with-minimally-invasive-surgery-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,26]]},"references-count":5,"alternative-id":["10.25259\/SNI_791_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_791_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9,26]]},"article-number":"409"}}