Acute Spontaneous Cervical Spinal Epidural Hematoma with Spontaneous Resolution -A Case Report- (급성 경추 경막외 혈종의 자발적 용해 -1예 보고-)

고영도; 국성환

Acute Spontaneous Cervical Spinal Epidural Hematoma with Spontaneous Resolution -A Case Report-

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2011, 18(3), pp.163-168
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

고영도 ¹, 국성환 ¹

¹이화여자대학교

Accredited

ABSTRACT

Study Design: This is a case report. Objectives: We wanted to report on the spontaneous dissolution of acute spontaneous epidural hematoma of the cervical spine and the effectiveness of conservative treatments, in the cases where the symptoms related to spontaneous epidural hematoma improve by themselves in a short period. Summary of Literature Review: Cases of acute spontaneous epidural hematoma of the cervical spine are rarely reported; surgical decompression procedures have been performed in most of the cases as treatment. However, there are some reported cases of hematoma dissolving spontaneously after a certain period of conservative treatment. Material and Methods: A 29 year-old female, who had no history of recent trauma, appealed neck pain with radiating pain in her upper right extremity due to acute epidural hematoma of the cervical spine which was diagnosed with MRI. The neck pain and radiating pain showed early recovery and gradual improvement during a period of the following 7 days after occurrence. MRI studies were done after 3days, 7days, and 1 month from the day of occurrence of the symptoms. Results: In comparing MRI studies there were significant decreases in the sizes of hematoma, which implied spontaneous dissolution. Almost all the symptoms related to acute spontaneous epidural hematoma vanished after a 1-month period of conservative treatment. Conclusions: Decompressive surgical procedure may not be necessary, if the symptoms related to spontaneous epidural hematoma improve by themselves in short period of conservative treatment. Key Words: Cervical, Epidural hematoma, Spontaneous, Resolution

KEYWORDS

Cervical, Epidural hematoma, Spontaneous, Resolution

Citation status

* References for papers published after 2023 are currently being built.

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