L’hématome spontané épidural rachidien : à propos de 3 cas

Cervical epidural hematoma post-trauma: a case report

“…The origin of the bleeding is most often venous, linked to the richness of the epidural venous network made of veins poor in valves and vulnerable, with even minimal trauma sometimes. The arterial origin might be evoked in front of the rapidity of the installation of clinical signs, the frequent association with arterial hypertension, and the lateral localization of the hematoma has been described [ 6 ]. However, the etiopathogenesis of the SEH is still unclear.…”

“…Anticoagulant therapy or blood coagulopathies constitute a most factors risk, neoplasms, or degenerative spinal diseases, increases risk of SHE [ 6 , 7 ]. There are also certain descriptions of iatrogenic hematoma, namely practice acupuncture, spinal needling, post-discectomy hematomas [ 8 , 9 ], or some traumatic massage or manipulation [ 10 ].…”

“…Our case occurred after trauma, the hematoma sits mainly in the right lateral, compressing the roots of the same side and driving back the cervical spinal cord at this level on the contralateral side. The spinal epidural hematoma has several clinical manifestations, which makes its diagnosis quite difficult, it manifests itself most often by simple neck pain, even a partial or total deficit depending on the size and importance of the hematoma, and often underdiagnosed, especially if it comes in the context of polytrauma [ 6 ]. In our case, it was a context of polytrauma, a state of consciousness that did not allow a neurological deficit noted; especially the attention much more focused on a probable surgical brain injury.…”