Spontaneous Cervical Spinal Epidural Hematoma Research Articles

Spontaneous cervical spinal epidural haematoma in a recent drug-eluting coronary stent recipient - A therapeutic challenge.

Spontaneous cervical spinal epidural haematoma in a recent drug-eluting coronary stent recipient - A therapeutic challenge.

Cervical Spinal Epidural Hematoma

A woman in her 60s was admitted to our hospital because of sudden-onset right hemiparesis, paresthesia, and neck pain. At first, a head CT scan was performed to rule out stroke, which did not detect any abnormalities. Subsequently, a neck CT scan was performed, which revealed a mild high-density structure compressing the dural sac within the cervical spinal canal. She was suspected to have a spinal hematoma. A MRI scan revealed a spindle-shaped structure with a heterogeneous high signal on T2-weighted and a mild high signal on T1-weighted sagittal images, which led to the diagnosis of a spontaneous spinal epidural hematoma. The patient was treated with conservative therapy upon which her symptoms improved. She was discharged seven days after admission. Spontaneous cervical spinal epidural hematoma often causes neck pain followed by unilateral spinal cord compression symptoms(such as hemiparesis and paresthesia)and can be misdiagnosed as a stroke. In cases of hemiparesis with sudden-onset neck pain, cervical lesions should be considered in the differential diagnoses in addition to stroke.

Spontaneous cervical spinal epidural haematoma in late pregnancy

SummarySpontaneous spinal epidural haematoma (SSEH) is rare, especially in pregnancy, and may lead to permanent neurological damage. Presentation varies from altered sensation to paralysis depending on the location and severity of the haematoma. A multi‐disciplinary approach is essential for effective management of such cases. A 39‐week primigravida presented to a district general hospital with an acute cervical neurological deficit. She was transferred to a specialist centre for urgent magnetic resonance imaging followed by sequential caesarean section and cervical epidural haematoma evacuation. The combined procedures were uneventful with a healthy baby delivered and recovering maternal neurology. Co‐ordinating multiple specialties from geographically separate sites created a number of peri‐operative challenges.

Spontaneous cervical spinal epidural hematoma presenting with hemiplegia

Spontaneous cervical spinal epidural hematoma presenting with hemiplegia

Brown-Sequard Syndrome: A Rare Presentation of Spontaneous Cervical Spinal Epidural Haematoma

Spontaneous spinal epidural haematoma is a rare but well-known entity that has been considered a surgical emergency. Brown-Sequard syndrome resulting from spontaneous cervical spinal epidural haematoma is rare. Only 11 cases have been described in the literature. We reported an 85-year-old female who presented with Brown-Sequard syndrome at the right C5 level, and an acute haematoma located from the C3 to C6 level was diagnosed from the series images. Within two weeks after decompressive surgery, the previous neurological deficits had gradually improved. (Hong Kong j.emerg.med. 2014;21:107-111)

Spontaneous Cervical Spinal Epidural Hematoma in the Postpartum Period

We present the case study of a 31-year-old lady who had a spontaneous cervical spinal epidural hematoma in the postpartum period and who presented with sudden onset of neck pain and lower limb weakness for which an emergency decompressive laminectomy was performed with neurological recovery. To report on the spontaneous spinal epidural hematoma in the postpartum period, which is a rare complication during pregnancy and requires early recognition and expedient intervention to prevent permanent neurological sequelae. This complication has been described only once previously in the postpartum period. The recovery of the patient described here highlights the importance of early recognition and surgical intervention. A case report of a spontaneous cervical spinal epidural haematoma in the postpartum period is presented and the pertinent literature is then reviewed. The patient had neurological recovery at 1-year follow-up, although she required clean intermittent self-catheterization once daily for bladder dysfunction. Early recognition and intervention for our patient allowed for neurological recovery with a spontaneous cervical spinal epidural hematoma in the postpartum period.

Acute Spontaneous Cervical Spinal Epidural Hematoma with Spontaneous Resolution -A Case Report-

Acute Spontaneous Cervical Spinal Epidural Hematoma with Spontaneous Resolution -A Case Report-

Acute Spontaneous Cervical Spinal Epidural Hematoma with Hemiparesis: A casereport

Acute Spontaneous Cervical Spinal Epidural Hematoma with Hemiparesis: A casereport

Acute spontaneous cervical spinal epidural hematoma with hemiparesis as the initial presentation

Acute onset of hemiparesis is a common initial presentation of cerebral vascular accidents, but many differential diagnoses should be considered. Hemiparesis results from an upper motor neuron lesion above the midcervical spinal cord, and the absence of cranial nerve signs or facial palsy suggests a lesion in the high cervical spinal cord. Most spinal cord lesions, however, result in quadriparesis or paraparesis, but not hemiparesis. We present a rare case of acute spontaneous cervical spinal epidural hematoma, with initial presentation of right hemiparesis and mild neck pain.