1. A Case Report: The Challenging Diagnosis of Spontaneous Cervical Epidural Hematoma
- Author
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Francis L. Counselman, Harry Lustig, and Julie M Tondt
- Subjects
medicine.medical_specialty ,neck pain ,Case Report ,Emergency Nursing ,Spontaneous cervical epidural hematoma ,03 medical and health sciences ,0302 clinical medicine ,Epidural hematoma ,medicine ,Medical diagnosis ,Neck pain ,Leg weakness ,medicine.diagnostic_test ,business.industry ,lcsh:Medical emergencies. Critical care. Intensive care. First aid ,030208 emergency & critical care medicine ,Magnetic resonance imaging ,lcsh:RC86-88.9 ,Emergency department ,medicine.disease ,Surgery ,Emergency Medicine ,medicine.symptom ,epidural hematoma ,business ,030217 neurology & neurosurgery ,Sudden onset - Abstract
Author(s): Counselman, Francis L.; Tondt, Julie M.; Lustig, Harry | Abstract: Introduction: We present the case of a patient with a spontaneous cervical epidural hematoma that presented with neck pain and mild, left arm parasthesia.Case Report: A 59-year old man presented with sudden onset of severe neck pain, without history of injury or trauma. The patient also complained of associated left arm parasthesias that progressed to left arm and leg weakness while in the emergency department. Multiple diagnoses were considered and worked up; eventually the correct diagnosis was made with magnetic resonance imaging of the cervical spine.Conclusion: Spontaneous cervical epidural hematoma typically presents with neck pain, and variable neurologic complaints. This case illustrates the challenge in making this uncommon but serious diagnosis.
- Published
- 2020