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Cervical spinal cord compression from subdural hematoma caused by traumatic nerve root avulsion: illustrative case

Alexander T Yahanda, Michelle R Connor, Rupen Desai, David A Giles, Vivek P Gupta, Wilson Z Ray, and Magalie Cadieux

the cervical spine demonstrated what appeared to be a dorsal epidural hematoma spanning from C3 to C6 causing critical spinal canal stenosis ( Fig. 2 ). He was promptly taken to surgery for evacuation of this hematoma. He underwent C3–5 laminectomies, but no epidural blood was visualized after decompression. Moreover, the thecal sac appeared to be distended, particularly on the right side, with areas of dark coloration seen under the dura. Intraoperative ultrasound was used to visualize a subdural hematoma underlying the decompressed levels. FIG. 2 Cervical

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Traumatic cervical spine subarachnoid hemorrhage with hematoma and cord compression presenting as Brown-Séqüard syndrome: illustrative case

Bernardo de Andrada Pereira, Benjamen M. Meyer, Angelica Alvarez Reyes, Jose Manuel Orenday-Barraza, Leonardo B. Brasiliense, and R. John Hurlbert

Yes Discussion Observations Blunt nonpenetrating traumatic hematomas of the spine are a traditionally rare entity. Of all spinal hematomas, epidural is the most common followed by subarachnoid and subdural hematomas. 2 Spinal hematomas are frequently idiopathic, consequent of vascular malformation or tumor with trauma being cited as an etiology in only 2.5% of all cervical hemorrhages. 2 , 4 Hematoma formation in the subarachnoid compartment of the spine is rare and difficult to diagnose typically due to low suspicion when there is a lack of

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Superficial siderosis of the central nervous system with epilepsy originating from traumatic cervical injury: illustrative case

Liqing Xu, Changwei Yuan, Yingjin Wang, Shengli Shen, and Hongzhou Duan

fluid collection 29 Arishima et al., 2018 33 50, M Surgery for subdural hematoma Gait ataxia, motor disturbance of bilat upper limbs 10 Epidural fluid collection from C2 to T12 Xanthochromia, RBCs: NM, ICP: 20 cm H 2 O C7 Suture Improvement of all symptoms (17 mos) Resolution of fluid collection 30 59, M Surgery for subdural hematoma Motor disturbance of rt upper & lower limbs 0.25 Epidural fluid collection from C2 to T2 Xanthochromia, RBCs: NM, ICP: 0 cm H 2 O T1–2, T3–4 Synthetic dura material Improvement of all symptoms (6 mos) Resolution of fluid collection 31