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Spontaneous Cervical Epidural Hematoma: A Case Report and Review of Literature

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Spontaneous Cervical Epidural Hematoma: A Case Report and Review of Literature

Mahmoud M Taha et al. Surg Neurol Int.

Abstract

Background: Spontaneous cervical epidural hematoma (SCEH) is an uncommon cause of acute spinal cord compression. This is a rare idiopathic condition that leads to acute onset of neurologic deficits, which if not diagnosed early can lead to catastrophic consequences.

Case description: Here, we report a 41-year-old male, diagnosed with SCEH, with a presenting chief complaint of cervical pain followed by progressive quadriparesis and urgency of micturition who was managed surgically, along with the review of literature.

Conclusion: SCEH is a rare pathologic entity. Due to the high risk of poor neurological outcome without treatment, SCEH should be a diagnostic possibility when the presentation is even slightly suggestive. Prompt surgical evacuation of the hematoma and hemostasis leads to a favorable neurological outcome, whereas delay in treatment can be disastrous.

Keywords: Hemilaminectomy; Neurologic manifestations; Progressive; Spinal cord; Spontaneous cervical epidural hematoma.

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1:
Figure 1:
T1-weighted sagittal magnetic resonance imaging showing hyperintense mass compressing the posterior aspect of the spinal cord.
Figure 2:
Figure 2:
T1-weighted sagittal magnetic resonance imaging showing hyperintense hematoma extending from C5 to T1.
Figure 3:
Figure 3:
T2-weighted sagittal magnetic resonance imaging showing heterogeneously isointense mass compressing the spinal cord.
Figure 4:
Figure 4:
Axial cervical computed tomography images after surgery showing complete hematoma evacuation with the right hemilaminectomy.

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References

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