Spontaneous Spinal Epidural Hematoma: A Case of a Benign Presentation and Emergency Department Management.

Division

North Florida

Hospital

Ocala Regional Medical Center

Document Type

Case Report

Publication Date

3-27-2022

Keywords

extradural bleeding, neurologic emergency, spinal epidural hematoma (seh), spontaneous intracerebral hemorrhage, spontaneous spinal epidural hematoma

Disciplines

Emergency Medicine | Nervous System Diseases

Abstract

Spontaneous spinal epidural hematomas (SSEHs) are neurological emergencies complicated by a wide array of presentations. In this study, we report a case of a patient who presented with neck pain and was diagnosed with an SSEH with computed tomography (CT) angiography with subsequent confirmation by magnetic resonance imaging (MRI). The high-risk location and size of the lesion guided management and surgical intervention. In a stable patient presenting to the emergency department without focal neurological deficits, clinical suspicion and assessment of risk factors are integral in the evaluation of patient risk and subsequent imaging and intervention.

Publisher or Conference

Cureus

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