• Southern medical journal · May 1995

    Case Reports

    Acute epidural hematoma of the cervical spine: an unusual cause of neck pain.

    • B Lobitz and I Grate.
    • Department of Emergency Medicine, Baton Rouge General Medical Center, La, USA.
    • South. Med. J. 1995 May 1; 88 (5): 580-2.

    AbstractCervical spinal epidural hematoma is an unusual neurosurgical disorder that usually requires emergent surgical decompressive therapy. We report the case of an 85-year-old woman with acute, severe neck and shoulder pain with progressive neurologic deficits. A computed tomography scan of the neck revealed an acute cervical spinal epidural hematoma. This case involves an unusual cause of neck pain in an elderly patient with no history of trauma. It is incumbent on the emergency physician to recognize this disorder and arrange emergent neurosurgical consultation to ensure an optimal outcome. Further, the differential diagnosis of neck pain and progressive neurologic findings should include this entity.

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