Abstract
IntroductionWe present the case of a patient with a spontaneous cervical epidural hematoma that presented with neck pain and mild, left arm parasthesia.Case ReportA 59-year old man presented with sudden onset of severe neck pain, without history of injury or trauma. The patient also complained of associated left arm parasthesias that progressed to left arm and leg weakness while in the emergency department. Multiple diagnoses were considered and worked up; eventually the correct diagnosis was made with magnetic resonance imaging of the cervical spine.ConclusionSpontaneous cervical epidural hematoma typically presents with neck pain, and variable neurologic complaints. This case illustrates the challenge in making this uncommon but serious diagnosis.
Highlights
We present the case of a patient with a spontaneous cervical epidural hematoma that presented with neck pain and mild, left arm parasthesia
Spontaneous cervical epidural hematoma typically presents with neck pain, and variable neurologic complaints
What is the major learning point? For patients complaining of neck pain and any associated neurologic symptoms, spontaneous cervical epidural hematoma should be included in the differential diagnosis
Summary
Section Editor: Melanie Heniff, MD Submission history: Submitted February 28, 2020; Revision received May 5, 2020; Accepted May 11, 2020 Electronically published July 13, 2020 Full text available through open access at http://escholarship.org/uc/uciem_cpcem DOI: 10.5811/cpcem.2020.5.47107
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