DOI: 10.12890/2022_002318
Spinal Cord Compression Secondary to a Spontaneous Cervical Epidural Haematoma
Authors
deeba.ali@chc.be
Keywords
Cervical haematoma, paraparesis, magnetic resonance imagingAbstract
We report the case of an 86-year-old female patient with chronic neck pain who presented with an initial misleading clinical picture suggesting an ischaemic stroke. No recent or previous anticoagulation treatment or fall history was reported. The patient developed a paraplegia of the upper limbs needing magnetic resonance imaging which revealed a compressive cervical haematoma. The patient benefitted from cervical laminectomy and evacuation of the cervical haematoma. Motricity in upper extremities was recovered but paresis in the lower extremities persisted 1 week after surgical intervention.
References
- Muñoz González A, Cuello JP, Rodríguez Cruz PM, Iglesias Mohedano AM, Domínguez Rubio R, Romero Delgado F, et al. Hematoma espinal epidural espontáneo: estudio retrospectivo de una serie de 13 casos. Neurología 2015;30:393–400.
- Taniguchi LU, Pahl FH, Lucio JE, Brock RS, Gomes MQ, Adoni T, et al. Complete motor recovery after acute paraparesis caused by spontaneous spinal epidural hematoma: case report. BMC Emerg Med 2011;11:10.
- Tremolizzo L, Patassini M, Malpieri M, Ferrarese C, Appollonio I. A case of spinal epidural haematoma during breath hold diving. Diving Hyperb Med 2012;42:98–100.
- Gutowski P, Meier U, Rohde V, Lemcke J, von der Brelie C. Clinical outcome of epidural hematoma treated surgically in the era of modern resuscitation and trauma care. World Neurosurg 2018;118:e166–e174.
- Diallo M, Cheikh NSE, Perrin G. Hématome épidural cervical non traumatique/Non traumatic epidural cervical hematoma. Rev Int Sc Med 2017;19:231–234.