Delayed traumatic spinal epidural hematoma with neurological deficits

Area of Science:

• Neurology
• Neurosurgery
• Trauma Surgery

Background:

• Spinal epidural hematoma (SEH) is a rare but serious condition.
• It can lead to severe neurological deficits, including paralysis.
• Delayed presentation after trauma is possible.

Purpose of the Study:

• To elucidate the mechanism of spinal epidural hematoma causing neurological deficit.
• To review the existing literature on this condition.
• To present a case study of cervicothoracic SEH.

Main Methods:

• Case report of a 62-year-old male patient.
• Description of post-traumatic cervicothoracic epidural hematoma.
• Surgical evacuation of the hematoma.
• Post-operative rehabilitation.

Main Results:

• The patient developed progressive neurological deficit, culminating in paralysis below T1.
• Surgical decompression revealed significant spinal cord compression from an organizing hematoma.
• Post-surgery, motor function improved, with complete neurologic recovery after rehabilitation.

Conclusions:

• Spinal epidural hematoma can arise from delayed traumatic events.
• The condition can result in varying degrees of neurological damage.
• Timely surgical intervention and rehabilitation are crucial for recovery.