Outcome and Follow-up
On the postoperative stage, she complained of delirium, partial seizure, persistent hypertension, and worsen renal failure. Use of antihypertensive & anticonvulsant medication and undergoing temporary hemodialysis (Fig.4).
Post operative MR spine demonstrate that epidural hematoma was removed but spinal edema still remained (Fig.3 c-e). Brain MR done 17days after surgery showed complete reversibility of the hyper-intense lesions on FLAIR (Fig.3 b).
Her general status was improved gradually and no more seizures were observed. Her arms and legs weakness remained and she kept on aggressive physiotherapy. Her neurological findings were improved gradually and she changed hospital to undergo rehabilitation. 4 months later, she could walk without assistance.