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Idiopathic cervical spinal subdural haematoma: a case report and literature review

This report describes a case of idiopathic cervical spinal subdural haematoma (SSDH) in which the haematoma was spontaneously absorbed without any treatment. A 68-year-old male patient presented with persistent neck pain and no obvious cause. Magnetic resonance imaging (MRI) revealed a space-occupyi...

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Detalles Bibliográficos
Autores principales: Wang, Bingjin, Liu, Weifang, Zeng, Xianlin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421387/
https://www.ncbi.nlm.nih.gov/pubmed/30761926
http://dx.doi.org/10.1177/0300060519829666
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author Wang, Bingjin
Liu, Weifang
Zeng, Xianlin
author_facet Wang, Bingjin
Liu, Weifang
Zeng, Xianlin
author_sort Wang, Bingjin
collection PubMed
description This report describes a case of idiopathic cervical spinal subdural haematoma (SSDH) in which the haematoma was spontaneously absorbed without any treatment. A 68-year-old male patient presented with persistent neck pain and no obvious cause. Magnetic resonance imaging (MRI) revealed a space-occupying lesion at the C4–T1 levels. The lesion was initially misdiagnosed as a tumour. An operation was arranged to remove the tumour, but a preoperative computed tomography scan showed no obvious abnormal soft tissue density in the cervical spinal canal. Repeat enhanced MRI showed degeneration of the cervical vertebrae, but no obvious abnormal soft tissue density and no obvious enhanced signals in the cervical spinal canal. Spontaneous resolution of an idiopathic cervical SSDH was considered. Idiopathic cervical SSDH without obvious neurological symptoms are difficult to diagnose, so suspected cases should be carefully monitored. If the neurological symptoms grow progressively more debilitating with time, emergency surgery might need to be considered. To avoid unnecessary surgery, conservative management should be an option for patients with minimal neurological deficits and re-examination with MRI could be the best way to observe the dynamic changes taking place in the idiopathic cervical SSDH.
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spelling pubmed-64213872019-03-22 Idiopathic cervical spinal subdural haematoma: a case report and literature review Wang, Bingjin Liu, Weifang Zeng, Xianlin J Int Med Res Case Reports This report describes a case of idiopathic cervical spinal subdural haematoma (SSDH) in which the haematoma was spontaneously absorbed without any treatment. A 68-year-old male patient presented with persistent neck pain and no obvious cause. Magnetic resonance imaging (MRI) revealed a space-occupying lesion at the C4–T1 levels. The lesion was initially misdiagnosed as a tumour. An operation was arranged to remove the tumour, but a preoperative computed tomography scan showed no obvious abnormal soft tissue density in the cervical spinal canal. Repeat enhanced MRI showed degeneration of the cervical vertebrae, but no obvious abnormal soft tissue density and no obvious enhanced signals in the cervical spinal canal. Spontaneous resolution of an idiopathic cervical SSDH was considered. Idiopathic cervical SSDH without obvious neurological symptoms are difficult to diagnose, so suspected cases should be carefully monitored. If the neurological symptoms grow progressively more debilitating with time, emergency surgery might need to be considered. To avoid unnecessary surgery, conservative management should be an option for patients with minimal neurological deficits and re-examination with MRI could be the best way to observe the dynamic changes taking place in the idiopathic cervical SSDH. SAGE Publications 2019-02-14 2019-03 /pmc/articles/PMC6421387/ /pubmed/30761926 http://dx.doi.org/10.1177/0300060519829666 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Reports
Wang, Bingjin
Liu, Weifang
Zeng, Xianlin
Idiopathic cervical spinal subdural haematoma: a case report and literature review
title Idiopathic cervical spinal subdural haematoma: a case report and literature review
title_full Idiopathic cervical spinal subdural haematoma: a case report and literature review
title_fullStr Idiopathic cervical spinal subdural haematoma: a case report and literature review
title_full_unstemmed Idiopathic cervical spinal subdural haematoma: a case report and literature review
title_short Idiopathic cervical spinal subdural haematoma: a case report and literature review
title_sort idiopathic cervical spinal subdural haematoma: a case report and literature review
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421387/
https://www.ncbi.nlm.nih.gov/pubmed/30761926
http://dx.doi.org/10.1177/0300060519829666
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