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Case Reports
. 2022 Sep 7:43:12.
doi: 10.11604/pamj.2022.43.12.28877. eCollection 2022.

Cervical epidural hematoma post-trauma: a case report

Affiliations
Case Reports

Cervical epidural hematoma post-trauma: a case report

Abderrahmane Housni et al. Pan Afr Med J. .

Abstract

Post-traumatic spinal epidural cervical hematoma is defined as a collection of blood at the level of the epidural space following a trauma. It remains a rare presentation. We report here the case of a cervical epidural hematoma extending from C3 to C5, in a 55-year-old patient victim of a public traffic accident admitted one hour after trauma. Computed Tomography (CT) scan found a compressive epidural hematoma extending C3 to C5; the patient underwent a posterior surgical approach, which allowed to evacuate the hematoma. This rare clinical entity is an emergency diagnosis and management, which needs collaboration between, Intensive Care Unit (ICU) specialists, neurosurgeons, neuroradiologists, and physiotherapists for good outcomes and follow-up.

Keywords: Spinal epidural hematoma; case report; cervical spine; cord compression; trauma.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
A) CT scan sagittal showed cervical epidural hematoma, extending from C3 to C5; B) CT scan axial view showing hematoma (red stars) compressing the spinal cord on the right side without associated bone lesion
Figure 2
Figure 2
magnetic resonance imaging sagittal view postoperative follow-up showing C3-C5 laminectomy (red stars) without hematoma

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