Traumatic Cervical Epidural Hematoma without Osseous Fracture Presenting as Hemiparesis
10.13004/kjnt.2019.15.e26
- Author:
Hak Soo LEE
1
;
Chang Il JU
;
Seok Won KIM
Author Information
1. Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea. chosunns@chosun.ac.kr
- Publication Type:Case Report
- Keywords:
Cervical spine;
Epidural hematoma;
Fracture
- MeSH:
Emergency Service, Hospital;
Female;
Hematoma;
Humans;
Laminectomy;
Magnetic Resonance Imaging;
Middle Aged;
Neck Pain;
Paresis;
Prognosis;
Spinal Cord
- From:Korean Journal of Neurotrauma
2019;15(2):209-213
- CountryRepublic of Korea
- Language:English
-
Abstract:
Traumatic cervical epidural hematoma (EDH) with no osseous fracture or underlying hematological abnormalities is a rare disorder that sometimes requires emergent surgical decompressive therapy. A 47-year-old woman was admitted to our emergency room due to severe neck pain and rapid onset hemiparesis after a car accident. Plain cervical radiographs and computed tomography scan did not reveal any abnormality. However, magnetic resonance imaging (MRI) revealed a large posterior EDH compressing the spinal cord extensively from C3 to C5. Emergent hematoma removal was performed following laminectomy, and subsequently the patient showed substantial clinical improvement. Complete removal of the hematoma was confirmed by MRI at 10 days after surgery. Here, the authors present a discussion of the etiology, pathogenesis, and prognosis of this rare pathologic entity.
