Concurrence of Traumatic Spinal Epidural and Subdural Hematoma without Spine Injury at Occipitocervical Junction: A Cases Report.

Rim, Dae Cheol; Youn, Seung Hwan; Park, Hyoung Chun; Park, Sung Choon; Che, Uei Byung

Case Report

Journal of Korean Neurosurgical Society 1998;27(11): 1605-1610.

Dae Cheol Rim, Seung Hwan Youn, Hyoung Chun Park, Sung Choon Park, Uei Byung Che

¹Department of Neurosurgery, College of Medicine, Kwandong University, Kangnung, Korea.
²Department of Neurosurgery, College of Medicine, Inha University, Seongnam, Korea.

ABSTRACT

Spinal epidural and subdural hematomas are uncommonly recognized conditions. These conditions can result in severe irreversible neurologic deficits, if left untreated. Like intracranial lesions, these hematomas can expand rapidly and cause sudden spinal cord and/or cauda equina compression. This case is very rare in which is a concurrence of cervical spinal epidural and subdural hematoma after motor vehicle accident without spine fracture. The pathophysiology of these entities are discussed and the radiologic diagnosis focused on MR findings are reviewed. The importance of prompt surgical treatment is emphasized to facilitate good postoperative outcome.

Key Words: Spinal epidural hematoma; Spinal subdural hematoma