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, 42 (3), 357-9

Spontaneous Cervical Epidural Hematoma: Report of a Case Managed Conservatively

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Spontaneous Cervical Epidural Hematoma: Report of a Case Managed Conservatively

Tariq Abdul Halim et al. Indian J Orthop.

Abstract

Spontaneous spinal epidural hematoma is a rare cause of acute spinal cord compression. A 25-year-old male presented with a history of sudden onset of complete quadriplegia with sensory loss below the neck along with loss of bowel and bladder control. He had no history of any constitutional symptoms. He reported 10 days later. He was managed conservatively and after two weeks of intensive rehabilitation he had complete neural recovery. The spontaneous recovery of neurological impairment is attributed to the spreading of the hematoma throughout the epidural space, thus decreasing the pressure with partial neural recovery. Conservative treatment is a fair option in young patients who present late and show neurological improvement. The neurological status on presentation will guide the further approach to management.

Keywords: Cervical epidural hematoma; conservative management.

Conflict of interest statement

Conflict of Interest: None.

Figures

Figure 1
Figure 1
Mid sagittal T1 (a) and T2 (b) weighted MRI of cervical spine at onset of weakness shows epidural mass (solid arrow)
Figure 2
Figure 2
Mid sagittal T1 (a) & T2 (b) weighted MRI of cervical spine 11 days after first MRI shows complete resolution of hematoma

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