Spontaneous cervical epidural hematoma

Abstract

Introduction: Spontaneous spinal epidural hematoma is a rare condition that leads to severe consequences if not promptly recognized. Magnetic resonance imaging is useful for a correct diagnosis. Case Report: We report the case of a woman on anticoagulant therapy and no previous trauma that presented to the emergency department with sudden cervical pain and numbness of upper limbs which has evolved to quadriplegia with absent deep tendon reflex in a few hours. Head and cervical computed tomography were normal, but magnetic resonance imaging showed a cervical epidural hematoma. She had a good improvement with conservative treatment. Conclusion: This case illustrates the complexity of the diagnosis of this entity and the possibility of successful treatment with a conservative approach, in a condition that surgery remains the gold standard treatment.