Spontaneous spinal epidural hemorrhage from intense piano playing.
Identifieur interne : 000F40 ( Main/Exploration ); précédent : 000F39; suivant : 000F41Spontaneous spinal epidural hemorrhage from intense piano playing.
Auteurs : Hui-Ju Chang [Taïwan] ; Fang Jy Su [Taïwan] ; Ying C. Huang [Éthiopie] ; Shih-Han ChenSource :
- The American journal of emergency medicine [ 1532-8171 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Dorsalgie (étiologie), Effort physique (MeSH), Femelle (MeSH), Humains (MeSH), Hématome épidural rachidien (diagnostic), Hématome épidural rachidien (étiologie), Imagerie par résonance magnétique (MeSH), Malformations artérioveineuses (complications), Musique (MeSH), Rupture spontanée (étiologie), Service hospitalier d'urgences (MeSH), Syndrome de compression médullaire (diagnostic), Syndrome de compression médullaire (étiologie), Vertèbres thoraciques (anatomopathologie), Vertèbres thoraciques (vascularisation).
- MESH :
- anatomopathologie : Vertèbres thoraciques.
- diagnostic : Hématome épidural rachidien, Syndrome de compression médullaire.
- vascularisation : Malformations artérioveineuses, Vertèbres thoraciques.
- étiologie : Dorsalgie, Hématome épidural rachidien, Rupture spontanée, Syndrome de compression médullaire.
- Adulte, Effort physique, Femelle, Humains, Imagerie par résonance magnétique, Musique, Service hospitalier d'urgences.
English descriptors
- KwdEn :
- Adult (MeSH), Arteriovenous Malformations (complications), Back Pain (etiology), Emergency Service, Hospital (MeSH), Female (MeSH), Hematoma, Epidural, Spinal (diagnosis), Hematoma, Epidural, Spinal (etiology), Humans (MeSH), Magnetic Resonance Imaging (MeSH), Music (MeSH), Physical Exertion (MeSH), Rupture, Spontaneous (etiology), Spinal Cord Compression (diagnosis), Spinal Cord Compression (etiology), Thoracic Vertebrae (blood supply), Thoracic Vertebrae (pathology).
- MESH :
- blood supply : Thoracic Vertebrae.
- complications : Arteriovenous Malformations.
- diagnosis : Hematoma, Epidural, Spinal, Spinal Cord Compression.
- etiology : Back Pain, Hematoma, Epidural, Spinal, Rupture, Spontaneous, Spinal Cord Compression.
- pathology : Thoracic Vertebrae.
- Adult, Emergency Service, Hospital, Female, Humans, Magnetic Resonance Imaging, Music, Physical Exertion.
Abstract
Spontaneous spinal epidural hematoma (SSEH) is a rare but real neurosurgical emergency. It is caused by atraumatic rupture of the vertebral epidural vein that results in nerve root or spinal cord compression. Most cases of SSEH have a multifactorial etiology, including congenital and acquired coagulopathies; platelet dysfunction; vascular malformation; tumors; uncontrolled hypertension; pregnancy; and, very rarely, activities requiring Valsalva. Herein we reported the case of a young pianist who was attacked by SSEH during piano practice. Playing the piano is a joyful, relaxing entertainment; however, this musical activity can be a highly demanding physical and mental exercise for pianists. Emotional and expressive performance, especially in professional performing, has been reported to result in significant increase of sympathetic and decrease of parasympathetic activities and thus influence the cardiorespiratory variables. The increased biomechanical stress from fluctuating hemodynamics was thought to trigger the rupture of her spinal arteriovenous malformation.
DOI: 10.1016/j.ajem.2013.12.017
PubMed: 24418452
Affiliations:
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Huang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Emergency Medicine, Chiayi Christian Hospital, Chiayi City, 60002, Taiwan; Department of Emergency Medicine, Medical Center & School of Medicine, Kaohsiung Medical University. Electronic address: Galaxy.bear@msa.hinet.net.</nlm:affiliation><country wicri:rule="url">Éthiopie</country></affiliation></author><author><name sortKey="Chen, Shih Han" sort="Chen, Shih Han" uniqKey="Chen S" first="Shih-Han" last="Chen">Shih-Han Chen</name><affiliation><nlm:affiliation>Division of Neurosurgery, Department of Surgery, Chiayi Christian Hospital.</nlm:affiliation><wicri:noCountry code="subField">Chiayi Christian Hospital</wicri:noCountry></affiliation></author></analytic><series><title level="j">The American journal of emergency medicine</title><idno type="eISSN">1532-8171</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Arteriovenous Malformations (complications)</term><term>Back Pain (etiology)</term><term>Emergency Service, Hospital (MeSH)</term><term>Female (MeSH)</term><term>Hematoma, Epidural, Spinal (diagnosis)</term><term>Hematoma, Epidural, Spinal (etiology)</term><term>Humans (MeSH)</term><term>Magnetic Resonance Imaging (MeSH)</term><term>Music (MeSH)</term><term>Physical Exertion (MeSH)</term><term>Rupture, Spontaneous (etiology)</term><term>Spinal Cord Compression (diagnosis)</term><term>Spinal Cord Compression (etiology)</term><term>Thoracic Vertebrae (blood supply)</term><term>Thoracic Vertebrae (pathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Dorsalgie (étiologie)</term><term>Effort physique (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Hématome épidural rachidien (diagnostic)</term><term>Hématome épidural rachidien (étiologie)</term><term>Imagerie par résonance magnétique (MeSH)</term><term>Malformations artérioveineuses (complications)</term><term>Musique (MeSH)</term><term>Rupture spontanée (étiologie)</term><term>Service hospitalier d'urgences (MeSH)</term><term>Syndrome de compression médullaire (diagnostic)</term><term>Syndrome de compression médullaire (étiologie)</term><term>Vertèbres thoraciques (anatomopathologie)</term><term>Vertèbres thoraciques (vascularisation)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Vertèbres thoraciques</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Thoracic Vertebrae</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Arteriovenous Malformations</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Hematoma, Epidural, Spinal</term><term>Spinal Cord Compression</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Hématome épidural rachidien</term><term>Syndrome de compression médullaire</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Back Pain</term><term>Hematoma, Epidural, Spinal</term><term>Rupture, Spontaneous</term><term>Spinal Cord Compression</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Thoracic Vertebrae</term></keywords><keywords scheme="MESH" qualifier="vascularisation" xml:lang="fr"><term>Malformations artérioveineuses</term><term>Vertèbres thoraciques</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Dorsalgie</term><term>Hématome épidural rachidien</term><term>Rupture spontanée</term><term>Syndrome de compression médullaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Emergency Service, Hospital</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Music</term><term>Physical Exertion</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Effort physique</term><term>Femelle</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Musique</term><term>Service hospitalier d'urgences</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Spontaneous spinal epidural hematoma (SSEH) is a rare but real neurosurgical emergency. It is caused by atraumatic rupture of the vertebral epidural vein that results in nerve root or spinal cord compression. Most cases of SSEH have a multifactorial etiology, including congenital and acquired coagulopathies; platelet dysfunction; vascular malformation; tumors; uncontrolled hypertension; pregnancy; and, very rarely, activities requiring Valsalva. Herein we reported the case of a young pianist who was attacked by SSEH during piano practice. Playing the piano is a joyful, relaxing entertainment; however, this musical activity can be a highly demanding physical and mental exercise for pianists. Emotional and expressive performance, especially in professional performing, has been reported to result in significant increase of sympathetic and decrease of parasympathetic activities and thus influence the cardiorespiratory variables. The increased biomechanical stress from fluctuating hemodynamics was thought to trigger the rupture of her spinal arteriovenous malformation.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24418452</PMID><DateCompleted><Year>2014</Year><Month>08</Month><Day>04</Day></DateCompleted><DateRevised><Year>2014</Year><Month>05</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-8171</ISSN><JournalIssue CitedMedium="Internet"><Volume>32</Volume><Issue>6</Issue><PubDate><Year>2014</Year><Month>Jun</Month></PubDate></JournalIssue><Title>The American journal of emergency medicine</Title><ISOAbbreviation>Am J Emerg Med</ISOAbbreviation></Journal><ArticleTitle>Spontaneous spinal epidural hemorrhage from intense piano playing.</ArticleTitle><Pagination><MedlinePgn>688.e3-5</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ajem.2013.12.017</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0735-6757(13)00854-1</ELocationID><Abstract><AbstractText>Spontaneous spinal epidural hematoma (SSEH) is a rare but real neurosurgical emergency. It is caused by atraumatic rupture of the vertebral epidural vein that results in nerve root or spinal cord compression. Most cases of SSEH have a multifactorial etiology, including congenital and acquired coagulopathies; platelet dysfunction; vascular malformation; tumors; uncontrolled hypertension; pregnancy; and, very rarely, activities requiring Valsalva. Herein we reported the case of a young pianist who was attacked by SSEH during piano practice. Playing the piano is a joyful, relaxing entertainment; however, this musical activity can be a highly demanding physical and mental exercise for pianists. Emotional and expressive performance, especially in professional performing, has been reported to result in significant increase of sympathetic and decrease of parasympathetic activities and thus influence the cardiorespiratory variables. The increased biomechanical stress from fluctuating hemodynamics was thought to trigger the rupture of her spinal arteriovenous malformation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chang</LastName><ForeName>Hui-Ju</ForeName><Initials>HJ</Initials><AffiliationInfo><Affiliation>Department of Emergency Medicine, Chiayi Christian Hospital, Chiayi City, 60002, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Su</LastName><ForeName>Fang Jy</ForeName><Initials>FJ</Initials><AffiliationInfo><Affiliation>Department of Emergency Medicine, Chiayi Christian Hospital, Chiayi City, 60002, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huang</LastName><ForeName>Ying C</ForeName><Initials>YC</Initials><AffiliationInfo><Affiliation>Department of Emergency Medicine, Chiayi Christian Hospital, Chiayi City, 60002, Taiwan; Department of Emergency Medicine, Medical Center & School of Medicine, Kaohsiung Medical University. Electronic address: Galaxy.bear@msa.hinet.net.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Shih-Han</ForeName><Initials>SH</Initials><AffiliationInfo><Affiliation>Division of Neurosurgery, Department of Surgery, Chiayi Christian Hospital.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>12</Month><Day>12</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Emerg Med</MedlineTA><NlmUniqueID>8309942</NlmUniqueID><ISSNLinking>0735-6757</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001165" MajorTopicYN="N">Arteriovenous Malformations</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001416" MajorTopicYN="N">Back Pain</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D046748" MajorTopicYN="N">Hematoma, Epidural, Spinal</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009146" MajorTopicYN="Y">Music</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005082" MajorTopicYN="N">Physical Exertion</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012422" MajorTopicYN="N">Rupture, Spontaneous</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013117" MajorTopicYN="N">Spinal Cord Compression</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013904" MajorTopicYN="N">Thoracic Vertebrae</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="N">blood supply</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>11</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>12</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>1</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>1</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>8</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24418452</ArticleId><ArticleId IdType="pii">S0735-6757(13)00854-1</ArticleId><ArticleId IdType="doi">10.1016/j.ajem.2013.12.017</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Taïwan</li><li>Éthiopie</li></country></list><tree><noCountry><name sortKey="Chen, Shih Han" sort="Chen, Shih Han" uniqKey="Chen S" first="Shih-Han" last="Chen">Shih-Han Chen</name></noCountry><country name="Taïwan"><noRegion><name sortKey="Chang, Hui Ju" sort="Chang, Hui Ju" uniqKey="Chang H" first="Hui-Ju" last="Chang">Hui-Ju Chang</name></noRegion><name sortKey="Su, Fang Jy" sort="Su, Fang Jy" uniqKey="Su F" first="Fang Jy" last="Su">Fang Jy Su</name></country><country name="Éthiopie"><noRegion><name sortKey="Huang, Ying C" sort="Huang, Ying C" uniqKey="Huang Y" first="Ying C" last="Huang">Ying C. 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