Open AccessTwo cases of spontaneous cervical epidural hematoma without back or neck pain in elderly Japanese men
Author(s) -
Hongo Takashi,
Iseda Kenichi,
Tsuchiya Midori,
Inaba Mototaka,
Nozaki Satoshi,
Takahashi Kenji,
Nakajima Masaaki,
Fujiwara Toshifumi
Publication year - 2018
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.317
Subject(s) - medicine , neck pain , corpectomy , back pain , surgery , hematoma , magnetic resonance imaging , epidural hematoma , decompression , radiology , alternative medicine , pathology
Cases Spontaneous spinal epidural hematoma (SSEH) is an uncommon disease. Most SSEH cases involve back and/or neck pain. We report the cases of two men who experienced SSEH with dysstasia but without back or neck pain. Outcomes This study presents two cases involving elderly Japanese men who visited an emergency department because of sudden dysstasia without back or neck pain. The results of the neurological examinations revealed ataxic gait. Cervical spinal epidural hematomas were observed by computed tomography and magnetic resonance imaging. One patient underwent hematoma removal and decompression by corpectomy, whereas the other patient received conservative treatment and observation. The patients were discharged without sequelae. Conclusion Spinal epidural hematomas are difficult to diagnose, and a delayed diagnosis can adversely affect the patient's quality of life. These hematomas should be considered in the differential diagnosis of cerebrovascular diseases.