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language
eng
Attribute
Case report
Author
Nishina, Masayoshi Department of Critical Care Medicine
Watanabe, Hiroaki Department of Acute Care Surgery
Description
Case: A 76-year-old woman receiving ongoing aspirin
therapy was transported by ambulance following
a traffic accident. Before her arrival, about 30
min after the accident, she began complaining of
dyspnea and developed quadriparesis. On admission,
we performed tracheal intubation and initiated artificial
ventilation. Computed tomography of the neck
revealed cervical epidural hematoma anterior to the
cervical spinal cord, from the first to sixth cervical
vertebrae. Within four hours of the traffic accident,
she demonstrated gradual improvement in movement
in her upper extremities.
Outcome: The patient was discharged home without
significant complications on Day 19.
Conclusion: We suggest the consideration of nonsurgical
management of traumatic cervical epidural
hematoma when the patient’s condition is rapidly
improving, with onsite facilities for neurosurgery in
reserve if surgical management becomes necessary.
Subject
trauma
traffic accidents
cervical spinal cord
epidural hematoma
conservative treatment
Journal Title
Shimane Journal of Medical Science
Volume
34
Issue
2
Start Page
85
End Page
88
ISSN
03865959
ISSN(Online)
24332410
Published Date
2017-12-31
NCID
AA00841586
Publisher
Faculty of Medicine, Shimane University
Publisher Aalternative
島根大学医学部
NII Type
Departmental Bulletin Paper
Format
PDF
Rights
Faculty of Medicine, Shimane University
Text Version
出版社版
Gyoseki ID
e34713
OAI-PMH Set
Faculty of Medicine
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