Summary
Two weeks after trauma a young man developed signs and symptoms of cervical radiculopathy and myelopathy. Myelography revealed an extradural mass in the spinal canal at the cervicothoracic junction. At operation an epidural hematoma was found, the pathological features of which suggested that it had been present since the injury. This case is exceptional in that spinal epidural hematomas are nearly always associated with rapidly progressing neurological syndromes.
Résumé
Deux semaines après traumatisme un jeune homme développa des signes et symptomes de radiculopathie et de myélopathie cervicale. La myélographie révéla une masse extradurale dans le canal rachidien au niveau de la jonction cervico-thoracique. A l'intervention on trouva un hématome épidural qui paraissait dater du traumatisme. Ce cas est exceptionnel puisqu'en cas d'hématome rachidien épidural les syndromes neurologiques sont presque toujours associés à des signes neurologiques rapidement évolutifs.
Zusammenfassung
Zwei Wochen nach einem Trauma entwickelten sich bei einem jungen Mann die Symptome einer zervikalen Radikulopathie und Myelopathie. Die Myelographie zeigte eine extradurale Raumforderung im Zerviko-thorakal-Bereich. Bei der Operation wurde ein epidurales Hämatom gefunden. Dieser Fall ist ungewöhnlich, da es sich fast immer um ein rasches Auftreten der neurologischen Symptomatik handelt.
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Liebeskind, A.L., Schwartz, K.S., Coffey, E.L. et al. Spinal epidural hematoma with delayed appearance of neurological symptoms. Neuroradiology 8, 191–193 (1975). https://doi.org/10.1007/BF00337650
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DOI: https://doi.org/10.1007/BF00337650