SPONTANEOUS REMISSION OF IDIOPATHIC CERVICAL EPIDURAL HEMATOMA
—Indications for Conservative Management of Spontaneous Epidural Hematoma—
1997 Volume 57 Issue 1 Pages 91-95
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1997 Volume 57 Issue 1 Pages 91-95
A 68-year-old woman was hospitalized with complaints of neck pain, left hemiparesis, and sensory distubances of the left limbs 4 days after their sudden onset. There were no signs of urinary dysfunction. Left hemiparesis improved gradually without treatment. Emergency magnetic resonance imaging revealed an isointense dorsal epidural collection extending along the middle cervical spine (C3-6) on T1-weighted images. On T2-weighted images, the lesion was primarily hyperintense. On cervical computed tomographic scan, the lesion was a high-density mass. The left posterolateral epidural collection compressed take out comma but did not displace the adjacent spinal cord. Spinal arteriovenous malformation was not detected with spinal angiography. The patient was observed without surgy. There was complete clinical and radiologic resolution with nonsurgical treatment. In selected cases with incomplete and nonprogressing deficits, conservative management may be possible.
