Traumatic Cervical Epidural Hematoma without Osseous Fracture Presenting as Hemiparesis
| Autor: | Seok Won Kim, Chang Il Ju, Hak Soo Lee |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Radiography medicine.medical_treatment Case Report 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Epidural hematoma Hematoma Cervical spine medicine Neck pain medicine.diagnostic_test business.industry Laminectomy Magnetic resonance imaging medicine.disease Spinal cord Fracture Hemiparesis medicine.anatomical_structure Surgery Radiology medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Korean Journal of Neurotrauma |
| ISSN: | 2288-2243 2234-8999 |
| DOI: | 10.13004/kjnt.2019.15.e26 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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