Recurrent Cervical Spontaneous Spinal Epidural Hematoma with Conservative Management: A Case Report
10.13004/kjnt.2021.17.e17
- Author:
Jung Myung KOO
1
;
Sung Hwan HWANG
;
Joonho YOON
;
Sang Hoon YOON
;
Byung-Kyu CHO
Author Information
1. Department of neurosurgery, The Armed Forces Capital Hospital, Seongnam, Korea
- Publication Type:Case Report
- From:Korean Journal of Neurotrauma
2021;17(2):186-191
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cervical spontaneous spinal epidural hematoma (CSSEH) is a rare condition that can be potentially fatal if not properly diagnosed and managed. While prompt surgical decompression and evacuation of the hematoma are generally considered as the first line of treatment, mild cases that were managed through observation and conservative treatment have been reported. Our patient was a 24-year-old man who experienced two CSSEH events 8 months apart, both of which were managed conservatively. This was a rare case of recurrent CSSEH in which recovery was achieved without surgical intervention. We believe conservative treatment with close observation may be effective in CSSEH patients presenting with mild neurologic symptoms who have a tendency towards spontaneous neurologic improvement.
