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Revista Archivo Médico de Camagüey

On-line version ISSN 1025-0255

Abstract

OLAZABAL ARMAS, Isael. Radicular pain as way of presentation of a spontaneous spinal epidural hematoma: a case presentation. AMC [online]. 2011, vol.15, n.1, pp.1-6. ISSN 1025-0255.

Background:spontaneous hemorrhages inside the spinal case in pediatric ages are not frequent. The blood may extend over the epidural, subdural or intramedular space, producing compression of neural structures. The epidural space is the most vulnerable area to suffer bleeding and inside of this, its posterior portion. Objective: to present an infrequent case of spontaneous cervical spinal epidural hematoma that started with radicular signs. Clinical case: a 14 years old, masculine patient with health antecedents is remitted to the consulting room with a history initiated seven days before, characterized for: low cervical pain of moderate intensity, of abrupt onset, irradiating to the 4 at 6 cervical dermatomes (C4-C6). To the physical examination was verified pain when striking the C4 to C6, bicipital hyporeflexia and reduction of the force in the right digital forceps. A cervical nuclear magnetic resonance was performed, where a spontaneous spinal epidural hematoma was diagnosed that previously extended from C3 to C7. The medical treatment was decided, the patient was discharged to twelve days, free of clinical manifestations. Conclusions: the patient's clinical evolution, size, localization of the hematoma and the time of evolution of the disease are elements to keep in mind when selecting the modality of the treatment, which will allow the reversibility of symptoms and neurological signs as well as the development of late complications.

Keywords : HEMATOMA, EPIDURAL, SPINAL; SPINAL CORD COMPRESSION; CHILD; NEUROLOGIC MANIFESTATIONS; NECK PAIN; CASE STUDIES.

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