J Korean Neurosurg Soc.  2003 Sep;34(3):268-270.

Acute Nontraumatic Spinal Epidural Hematoma at Cervical Spine

Affiliations
  • 1Department of Neurosurgery, College of Medicine, Kosin University, Busan, Korea. choyw@chollian.net
  • 2Department of Neurosurgery, College of Medicine, Hallym University, Chunchon, Korea.

Abstract

The authors report a case of acute nontraumatic spinal epidural hematoma which extending from C4 to C6. A 70-year-old woman was presented with neck pain and left hemiparesis. T1-weighted magnetic resonance image revealed a mass isointense to the spinal cord and the mass was slightly enhanced after administration of gadolinium. T2-weighted images revealed high signal in the left posterolateral part of the spinal canal at the level of C4-C6. Evacuation of an epidural hematoma was performed with laminectomy. The pathological examination did not reveal any malformation within this hematoma. The patient showed complete recovery of the deficits. Medical investigation yielded thrombocytopenia and splenomegaly derived from liver cirrhosis. Thrombocytopenia and mechanical factor may be considered as etiologic factors in this case.

Keyword

Nontraumatic; Acute; Cervical; Spinal epidural hematoma

MeSH Terms

Aged
Female
Gadolinium
Hematoma
Hematoma, Epidural, Spinal*
Humans
Laminectomy
Liver Cirrhosis
Neck Pain
Paresis
Spinal Canal
Spinal Cord
Spine*
Splenomegaly
Thrombocytopenia
Gadolinium
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