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The Journal of Bone and Joint Surgery 83:255 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

Spontaneous Resolution of Symptomatic Post-Traumatic Cervical Epidural Hematoma

A Case Report

Glenn R. Rechtine, II, MD, Michael J. Bolesta, MD, Ann Marie Chrin, ARNP-C and Kenneth Louis, MD

Investigation performed at Tampa General Hospital, Tampa, Florida
Glenn R. Rechtine II, MD Department of Orthopaedics and Rehabilitation, University of Florida College of Medicine, P.O. Box 100246, Gainesville, FL 32610-0246. E-mail address: rechtgr@ortho.ufl.edu. Please address requests for reprints to G.R. Rechtine II.
Michael J. Bolesta, MD Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75235-8883
Ann Marie Chrin, ARNP-C Department of Orthopaedic Surgery, University of South Florida, 4202 East Fowler Avenue, Tampa, FL 33620
Kenneth Louis, MD Neurosurgical Associates, 3000 East Fletcher Avenue, Suite 340, Tampa, FL 33613
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


    Introduction
 
Epidural hematomas occur infrequently although they are not rare. They can arise spontaneously or after trauma. They are notably more common in patients with vascular anomalies and in those with coagulation abnormalities1-6. Treatment usually involves emergent operative decompression.

We report the case of an otherwise healthy thirty-five-year-old man in whom a symptomatic cervical epidural hematoma developed after minimal trauma. The hematoma resolved spontaneously, as documented with magnetic resonance imaging. The patient remained asymptomatic over a five-year duration of follow-up.


    Case Report
 
In April 1994, a thirty-five-year-old man fell while getting out of bed to answer the telephone. He believed that the fall resulted in very minor trauma, but he noticed progressive weakness and paresthesias in the left arm and leg over the next one to two hours. His medical history was notable for an episode of neck pain associated with mild spondylosis at the fifth and sixth cervical levels three and . . . [Full Text of this Article]


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