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Acute cervical epidural hematoma: case report.
G Borges1, L Bonilha, M V Maldaum
1Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Brasil. gborges@correionet.com.br
Arquivos De Neuro-Psiquiatria
|September 6, 2000
Summary
A rare case of spontaneous spinal epidural hematoma (ASSEH) caused sudden paralysis. Prompt cerebrospinal fluid removal led to complete neurological recovery, highlighting an unusual decompression method.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Spontaneous spinal epidural hematoma (ASSEH) is a rare condition causing significant neurological deficits.
- Early diagnosis and intervention are crucial for managing ASSEH and preventing permanent damage.
Observation:
- A 74-year-old patient presented with nocturnal neck and chest pain, followed by flaccid paralysis.
- Initial cardiac and neurological assessments were normal; cerebrospinal fluid analysis was unremarkable.
Findings:
- Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a large cervical epidural hematoma compressing the spinal cord.
- A C6 vertebral hemangioma was identified as a potential contributing factor.
Implications:
- This case demonstrates a unique and fortunate recovery following cerebrospinal fluid removal, acting as an unusual form of spinal cord decompression.
- Reviewing the literature on ASSEH diagnosis and treatment is essential for optimizing patient outcomes.