Spontaneous cervical epidural hematoma: Insight into this occurrence with case examples
Brian Fiani1, Ryan Jarrah2, Nicholas J Fiani3
1Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, California, United States.
Surgical Neurology International
|March 26, 2021
Summary
Spinal epidural hematoma (SSEH) is a misunderstood condition causing varied symptoms. Early diagnosis and treatment, including MRI and potential surgery, are crucial for managing progressive neurological deficits.
Area of Science:
- Neurology
- Neurosurgery
Background:
- Spinal epidural hematoma (SSEH) is the idiopathic accumulation of blood in the spinal epidural space.
- SSEH presents with diverse symptoms, from back pain to paraplegia, and lacks a standardized diagnostic or treatment algorithm.
- Cervical SSEH accounts for 16% of cases, highlighting its clinical significance.
Observation:
- Two cases of SSEH are presented: one with sudden neck pain and progressive weakness, another with painless weakness during aspirin use.
- Literature review provides a comprehensive overview of SSEH presentation, pathology, and treatment.
Findings:
- SSEH requires consideration in patients with non-traumatic extremity weakness.
- Prompt diagnosis via MRI and surgical decompression for progressive deficits are recommended.
Implications:
- Increased clinical awareness of SSEH is necessary for timely intervention.
- Further research is needed to establish definitive diagnostic and treatment protocols for SSEH.
