Two instances of spontaneous cervical epidural hematoma with out again or neck ache in aged Japanese males.
Acute Med Surg. 2018 Apr;5(2):181-184
Authors: Hongo T, Iseda Ok, Tsuchiya M, Inaba M, Nozaki S, Takahashi Ok, Nakajima M, Fujiwara T
Circumstances: Spontaneous spinal epidural hematoma (SSEH) is an unusual illness. Most SSEH instances contain again and/or neck ache. We report the instances of two males who skilled SSEH with dysstasia however with out again or neck ache.
Outcomes: This research presents two instances involving aged Japanese males who visited an emergency division due to sudden dysstasia with out again or neck ache. The outcomes of the neurological examinations revealed ataxic gait. Cervical spinal epidural hematomas have been noticed by computed tomography and magnetic resonance imaging. One affected person underwent hematoma removing and decompression by corpectomy, whereas the opposite affected person obtained conservative remedy and statement. The sufferers have been discharged with out sequelae.
Conclusion: Spinal epidural hematomas are troublesome to diagnose, and a delayed prognosis can adversely have an effect on the affected person’s high quality of life. These hematomas ought to be thought-about within the differential prognosis of cerebrovascular illnesses.
PMID: 29657732 [PubMed]