Departmental Bulletin Paper A Traumatic Cervical Epidural Hematoma that Showed Rapid Progression and Significant Improvement Without Surgery

Nishina, Masayoshi  ,  Watanabe, Hiroaki

34 ( 2 )  , pp.85 - 88 , 2017-12-31 , Faculty of Medicine, Shimane University
Case: A 76-year-old woman receiving ongoing aspirintherapy was transported by ambulance followinga traffic accident. Before her arrival, about 30min after the accident, she began complaining ofdyspnea and developed quadriparesis. On admission,we performed tracheal intubation and initiated artificialventilation. Computed tomography of the neckrevealed cervical epidural hematoma anterior to thecervical spinal cord, from the first to sixth cervicalvertebrae. Within four hours of the traffic accident,she demonstrated gradual improvement in movementin her upper extremities.Outcome: The patient was discharged home withoutsignificant complications on Day 19.Conclusion: We suggest the consideration of nonsurgicalmanagement of traumatic cervical epiduralhematoma when the patient’s condition is rapidlyimproving, with onsite facilities for neurosurgery inreserve if surgical management becomes necessary.
Full-Text J. Med. Sci.VOL34_no2_P85-P88.pdf

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