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Traumatic Dorsal Hematoma in Spinal Ligament
Cherkaoui Mandour1, Brahim El Mostarchid1
1Department of Neurosurgery, Military Hospital Mohammed V, Rabat, Morocco.
Maedica
|May 4, 2017
Summary
Traumatic spinal ligament hematoma, rare without bone injury, can resolve spontaneously. This case shows recovery from paraplegia after a car accident via conservative management and rehabilitation.
Area of Science:
- Neurosurgery
- Traumatology
- Spinal Cord Injury
Background:
- Traumatic spinal hematomas are infrequently reported, especially when isolated from bone fractures or hemostasis issues.
- Spinal epidural hematomas are typically linked to vertebral fractures or bleeding disorders.
Purpose of the Study:
- To report a rare case of traumatic spinal ligament hematoma without associated bone lesions or hemostasis abnormalities.
- To highlight the potential for conservative management and spontaneous resolution in such cases.
Main Methods:
- Case report of a 50-year-old male involved in a car accident.
- Neurological and spinal magnetic resonance imaging (MRI) assessment.
- Conservative management with functional reeducation.
Main Results:
- The patient presented with paraplegia and hypoesthesia below T4.
- MRI revealed an acute dorsal hematoma in the spinal ligament (T5-T7) causing spinal cord compression.
- No surgical intervention was performed; the hematoma resolved spontaneously.
- Gradual neurological deficit recovery was observed with rehabilitation.
Conclusions:
- Traumatic spinal ligament hematoma can occur in the absence of bone lesions or coagulopathy.
- Conservative management may lead to favorable outcomes, including neurological recovery.
- Spinal MRI is crucial for diagnosis and monitoring of traumatic spinal hematomas.

