AI Article Synopsis
- Delayed presentation of traumatic spinal epidural hematoma (SEH) can occur, where patients may not show symptoms for several days to weeks post-injury, often followed by pain and neurological deficits.
- A case study details a 66-year-old woman who developed left shoulder pain and hemiplegia 42 days after a bicycle accident, revealing cervical epidural hematoma without cervical fracture via imaging.
- Surgical removal of the hematoma led to significant improvement in muscle strength within 10 days, highlighting the importance of timely diagnosis and intervention for better neurological outcomes.
Article Abstract
A delayed presentation of traumatic spinal epidural hematoma (SEH) is a rare disease in which most patients are asymptomatic for days to weeks after the injury, followed by pain and then a neurological deficit. A 66-year-old woman who suffered a fractured right clavicle due to a bicycle accident 42 days previously, presented with left shoulder pain and left hemiplegia. The manual muscle test (MMT) scores of the left upper and lower limbs were all 1. Computed tomography and magnetic resonance imaging showed no cervical fracture but showed cervical epidural hematoma. She underwent surgery for the removal of the SEH. Her MMT score improved to 4 at 10 days after surgery. Even in cases with a delayed presentation, suspecting SEH can help clinicians make an early diagnosis. Additionally, the prompt surgical evacuation of the SEH can lead to favorable neurological outcomes in symptomatic cases.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304961 | PMC |
| http://dx.doi.org/10.1093/omcr/omae086 | DOI Listing |
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