• Takashi Arai, Shunji Asamoto, Yasuyuki Fukui, Takahiro Endo, Kinya Oshida, Yoshinori Arai, Noriyoshi Kawamura, Yasuyuki Okamura, Hiroyuki Muramatsu, Hiroshi Doi, and Takakazu Kawamata.
• Department of Neurosurgery, Makita General Hospital.
• No Shinkei Geka. 2020 Aug 1; 48 (8): 707-710.

AbstractRetropharyngeal hematomas are uncommon, but they may rarely cause occlusion of the upper airway and threaten life. Retropharyngeal hematomas often occur due to head or neck injury;they rarely occur due to iatrogenic causes such as insertion of a gastric tube or anticoagulant therapy. It has been found that patients receiving anticoagulant therapy are more likely to experience potentially severe retropharyngeal hematomas. We report the case of a patient with retropharyngeal hematoma with cervical cord damage. A 75-year-old man was transferred to our hospital after he sustained a fall and damaged his face. CT showed a massive retropharyngeal hematoma, but he did not complain of any breathing issues. Therefore, we selected conservative therapy. However, after approximately 4 hours, he suddenly complained of breathing problems and suffered from loss of consciousness. We performed intubation and provided sedation. After one week, his condition clearly improved and he was extubated.

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