Spontaneous Spinal Epidural Hematoma with Lumbar Facet Joint Destruction Mimicking Pigmented Villonodular Synovitis

摘要

BACKGROUND: Spontaneous spinal epidural hematoma (SSEH) is a spinal emergency that requires early diagnosis and decompression surgery. Here, we report a case of SSEH that was difficult to differentiate from pigmented villonodular synovitis (PVS) because of combined facet joint destruction and that required gross total resection, a procedure not typically indicated for SSEH.