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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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Paraparesis caused by intradural thoracic spinal granuloma secondary to organizing hematoma: illustrative case

John K. Yue, Young M. Lee, Daniel Quintana, Alexander A. Aabedi, Nishanth Krishnan, Thomas A. Wozny, John P. Andrews, and Michael C. Huang

): 110 – 115 . 10.1016/S0046-8177(98)90218-0 1950896 6 Kreppel D , Antoniadis G , Seeling W . Spinal hematoma: a literature survey with meta-analysis of 613 patients . Neurosurg Rev . 2003 ; 26 ( 1 ): 1 – 49 . 10.1007/s10143-002-0224-y 13323242 7 Calhoun JM , Boop F . Spontaneous spinal subdural hematoma: case report and review of the literature . Neurosurgery . 1991 ; 29 ( 1 ): 133 – 134 . 10.1227/00006123-199107000-00025 8 Bladé J , Gastón F , Montserrat E , Spinal subarachnoid hematoma after lumbar

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Management of a recurrent spinal arachnoid cyst presenting as arachnoiditis in the setting of spontaneous spinal subarachnoid hemorrhage: illustrative case

Omar Hussain, Randall Treffy, Hope M Reecher, Andrew L DeGroot, Peter Palmer, Mohamad Bakhaidar, and Saman Shabani

Spinal subarachnoid hemorrhage (SSAH) can present from a multitude of etiologies. Most cases are posttraumatic or iatrogenic in nature, whereas few are spontaneous due to an underlying vascular malformation or coagulopathy. 1 A potential pathogenic mechanism for SSAH can involve the rupture of vasculature within the subdural or subarachnoid space, potentially after a posttraumatic increase in intraabdominal or thoracic pressure. 2 The remaining etiological category is spontaneous SSAH, for which several case series of spinal subdural hematomas of

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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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Can we build better? Challenges with geospatial and financial accessibility in the Caribbean. Illustrative case

Ellianne J dos Santos Rubio, Chrystal Calderon, Annegien Boeykens, and Kee B Park

. 12 Bullock MR , Chesnut R , Ghajar J , Surgical management of acute epidural hematomas . Neurosurgery . 2006 ; 58 ( 3 , suppl ): S7 – S15 , Si–iv . 13 Bullock MR , Chesnut R , Ghajar J , Surgical management of acute subdural hematomas . Neurosurgery . 2006 ; 58 ( 3 , suppl ): S16 – S24 , Si–iv . 14 Lee EJ , Hung YC , Wang LC , Chung KC , Chen HH . Factors influencing the functional outcome of patients with acute epidural hematomas: analysis of 200 patients undergoing surgery . J Trauma . 1998

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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