| 篇名 |
Cervical Spine Contusion Complicated by Intraspinal Subdural Hematoma and Brachial Plexus Injury: Report of a Case |
| 作者 |
Chung-Po Ko, Tien-Jen Lin, Shin-Han Tsai, Wen-Ta Chiu |
| 卷期/出版年月 |
43卷4期 (2010/8) |
| 頁次 |
186-190 |
| 摘要 |
A 25-year-old man developed neck pain, Horner’s syndrome, and monoplegia
immediately after a motorcycle accident. The patient had worn a safety helmet and
had fellen from the motorcycle. Then he struck the ground with his left arm
hyperextended. The computed tomogram of the neck showed a compressive,
intraspinal mass extending cranio-caudally from C1 to C7. Sagittal T1- and T2-
weighted magnetic resonance images of the spine revealed subdural bleeding, and
marked the extension of the hematoma to the T1 level. This case was unusual in that
the hematoma was located in the cervical region and the patient did not have any
correlated neurologic deficits related to cervical spine injury with subdural
hematoma. The only neurologic deficit was correlated to brachial plexus injury.
Traumatic cervical subdural hematoma is very rare, and only two cases have been
reported in the literature. This report suggests the possible role of conservative
management for traumatic cervical subdural hematoma, especially when the patient
has no significant neurologic deficits related to the hematoma. |
| 關鍵詞 |
cervical spine injury, intraspinal hemorrhage |
| 分類 |
Case Report |
