Spontaneous cervicothoracic epidural hematoma following prolonged valsalva secondary to trumpet playing

Am J Emerg Med. 1997 Jan;15(1):73-5. doi: 10.1016/s0735-6757(97)90054-1.


Spontaneous spinal epidural hematoma is an uncommon clinical entity. Patients with this disease may present with devastating neurological deficits that can mimic other diseases. Emergency physicians should be familiar with this condition to assure appropriate therapy in a timely manner. A typical case of spontaneous spinal epidural hematoma is presented with review of appropriate differential diagnosis and management.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Back Pain / etiology
  • Emergencies
  • Hematoma, Epidural, Cranial / complications
  • Hematoma, Epidural, Cranial / diagnosis
  • Hematoma, Epidural, Cranial / etiology*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Music*
  • Occupational Diseases / diagnosis
  • Occupational Diseases / etiology*
  • Paraplegia / etiology
  • Respiration*
  • Spine / pathology