Spontaneous cervical epidural hematoma: A case report and review of literature.

Authors :: Taha MM
Elsharkawy AM
Al Menshawy HA
AlBakry A
Source :: Surgical neurology international [Surg Neurol Int] 2019 Dec 13; Vol. 10, pp. 247. Date of Electronic Publication: 2019 Dec 13 (Print Publication: 2019).
Publication Year :: 2019
Abstract: Background: Spontaneous cervical epidural hematoma (SCEH) is an uncommon cause of acute spinal cord compression. This is a rare idiopathic condition that leads to acute onset of neurologic deficits, which if not diagnosed early can lead to catastrophic consequences.<br />Case Description: Here, we report a 41-year-old male, diagnosed with SCEH, with a presenting chief complaint of cervical pain followed by progressive quadriparesis and urgency of micturition who was managed surgically, along with the review of literature.<br />Conclusion: SCEH is a rare pathologic entity. Due to the high risk of poor neurological outcome without treatment, SCEH should be a diagnostic possibility when the presentation is even slightly suggestive. Prompt surgical evacuation of the hematoma and hemostasis leads to a favorable neurological outcome, whereas delay in treatment can be disastrous.<br />Competing Interests: There are no conflicts of interest.<br /> (Copyright: © 2019 Surgical Neurology International.)