A CASE OF TRAUMATIC CERVICAL EPIDURAL HEMATOMA WITHOUT FRACTURE OR DISLOCATION CAUSED BY A TRAFFIC ACCIDENT

DOI
  • UEYAMA Shinya
    Rinku General Medical Center, Osaka Pref. Senshu Trauma and Critical Care Center
  • NAKAO Shota
    Rinku General Medical Center, Osaka Pref. Senshu Trauma and Critical Care Center
  • YOSHIMOTO Koichi
    Rinku General Medical Center, Osaka Pref. Senshu Trauma and Critical Care Center
  • IZUMINO Hiroo
    Rinku General Medical Center, Osaka Pref. Senshu Trauma and Critical Care Center Nagasaki University Hospital Acute & Critical Care Center
  • FUMINO Hiromi
    Rinku General Medical Center, Osaka Pref. Senshu Trauma and Critical Care Center
  • KUSAKABE Kenji
    Rinku General Medical Center, Osaka Pref. Senshu Trauma and Critical Care Center
  • ADACHI Shingo
    Rinku General Medical Center, Osaka Pref. Senshu Trauma and Critical Care Center
  • MATSUOKA Tetsuya
    Rinku General Medical Center, Osaka Pref. Senshu Trauma and Critical Care Center

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Other Title
  • 交通外傷による非骨傷性頸髄硬膜外血腫の一例

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Abstract

<p>　　A 38-year-old man crashed his car into a utility pole and was brought to our hospital. His breathing and circulation were stabilized, but his right arm demonstrated marked hyperesthesia and monoplegia. There were no indications of cervical fracture on computed tomography. On day 2, suspicion of brachial plexus injury prompted magnetic resonance imaging (MRI), which revealed a hematoma in a mosaic pattern in the right dorsal column of the spinal cord from C3 to C6 on T2-weighted images. Based on the symptoms and imaging findings, we diagnosed him with cervical epidural hematoma. His monoplegia improved over time and we adopted conservative treatment. MRI on day 7 revealed recession of the hematoma. His monoplegia improved and he was discharged on day 9. In the case of palsy in a single upper limb associated with trauma, cervical epidural hematoma must be considered and detailed examination is required.</p>

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