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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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Atlantoaxial wiring hardware failure resulting in intracranial hemorrhage and hydrocephalus: illustrative case

Anass Benomar, Harrison J. Westwick, Sami Obaid, André Nzokou, Sung-Joo Yuh, and Daniel Shedid

tomography (CT) of the head demonstrated subarachnoid and intraventricular hemorrhage with moderate hydrocephalus and signs of intracranial hypertension. Imaging also revealed a high cervical and posterior fossa subdural hematoma ( Fig. 1 ). She was transferred to our institution with a high-grade subarachnoid hemorrhage and hydrocephalus. FIG. 1. Axial noncontrast CT of the head showing upper cervical subdural hemorrhage ( A ), posterior fossa subarachnoid hemorrhage ( B ), intraventricular hemorrhage in the fourth ventricle ( B ), and hydrocephalus ( C ). She

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Significance of upper cervical epidural venous engorgement on head computed tomography in the initial diagnosis of spontaneous intracranial hypotension: patient series

Toshihide Takahashi, Kiyoyuki Yanaka, Hitoshi Aiyama, Minami Saura, Michihide Kajita, Nobuyuki Takahashi, Kuniyuki Onuma, and Eiichi Ishikawa

determine dural thickening, subdural hematoma, dilated venous sinuses, and pituitary hyperemia. CSF accumulation in the spinal epidural space was verified using spinal MRI. The imaging findings were evaluated by 5 neurosurgeons, 1 neurologist, and 1 radiologist, and the decision was made by majority vote in cases of disagreement. The thickness of the epidural venous plexus of the upper cervical spine was measured on axial CT slices at the same thickest part at the C1–2 vertebral level before and after treatment. Twenty patients, ages 20–50 years old, who had undergone CT

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Extended tulip cervical reduction screws to restore alignment in traumatic atlantoaxial dislocation after type 3 odontoid fracture: illustrative case

Christopher F. Dibble, Saad Javeed, Justin K. Zhang, Brenton Pennicooke, Wilson Z. Ray, and Camilo Molina

vehicle sustained 4 months prior, when she reportedly walked into traffic while intoxicated. Of note, she had a past medical history of polysubstance abuse, hepatitis C with cirrhosis, type 2 diabetes, and hypertension. At the time, she sustained numerous injuries, including a nondisplaced type III odontoid fracture ( Fig. 1A–C ), which was managed conservatively with a cervical collar, as well as separate three column/chance fractures at T3 and L4–5, which were managed with posterior percutaneous fixation. In addition, she had a small subdural hematoma managed

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Iatrogenic neurological injury after radiofrequency ablation and epidural steroid injections: illustrative cases

Lisa B. E. Shields, Vasudeva G. Iyer, Yi Ping Zhang, and Christopher B. Shields

. 10.1007/s11916-012-0314-7 20. Lee JK , Chae KW , Ju CI , Kim BW . Acute cervical subdural hematoma with quadriparesis after cervical transforaminal epidural block . J Korean Neurosurg Soc . 2015 ; 58 ( 5 ): 483 – 486 . 10.3340/jkns.2015.58.5.483 21. Ziai WC , Ardelt AA , Llinas RH . Brainstem stroke following uncomplicated cervical epidural steroid injection . Arch Neurol . 2006 ; 63 ( 11 ): 1643 – 1646 . 10.1001/archneur.63.11.1643 22. Abbott Z , Smuck M , Haig A , Sagher O . Irreversible spinal

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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