RT Journal Article
SR Electronic
T1 Spontaneous Epidural Hematoma of Cervical Spine
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP 26
OP 29
DO 10.14444/5005
VO 12
IS 1
A1 FIROOZ SALEHPOUR
A1 FARHAD MIRZAEI
A1 MOHAMMAD KAZEMZADEH
A1 SEYED AHMAD NASERI ALAVI
YR 2018
UL http://ijssurgery.com//content/12/1/26.abstract
AB Spontaneous cervical epidural hematoma 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 recognized early can have catastrophic consequences. Acute cervical epidural hematoma is definitely a condition of neurologic emergency. Although it is a rare condition, it must be considered in nontraumatic patients with sudden onset of neurologic deficits. Patients with spontaneous spinal epidural hematoma typically present with acute onset of severe back pain, and they rapidly develop signs of compression of the spinal cord or cauda equina. Here, we present a case of a 31-year-old man who presented with acute onset of neck pain with radicular component with progressive neurologic deficit. Emergent magnetic resonance imaging revealed cervical extradural hematoma with cord compression that was promptly evacuated. Functional recovery was achieved within 48 hours. The level of preoperative neurologic deficit and its severity, as well as operative interval, are important factors significantly affecting the postoperative outcome.