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Traumatic C1-C3 Spinal Epidural Hematoma Presented with Occipital Neuralgia

Authors
Hwang, EH; Park, CY; You, NK; Kim, SH; Cho, KH
Citation
The Nerve, 4(2):90-91, 2018
Journal Title
The Nerve
ISSN
2465-891X
Abstract
A 32-year-old woman presented to our hospital with occipital headache for >1 week following head trauma. She showed no other neurologic symptoms. Pain was aggravated by cervical flexion. Magnetic resonance imaging (MRI) findings showed a spinal epidural hematoma (SEH) at the C1 to C3 level. The C2 roots were encircled and compressed by the hematoma. Medication was prescribed and a neck collar was applied for symptom control. After three weeks, her occipital neuralgia disappeared and cervical flexion did not provoke pain. Follow-up MRI findings showed total resolution of the SEH. The findings of this case illustrate that occipital neuralgia, especially if characterized by rapid onset, can be caused by SEH after trauma.
Keywords
Cervical vertebraeHeadacheHematomaepiduralspinalRadiculopathy
DOI
10.21129/nerve.2018.4.2.90
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
AJOU Authors
박, 창용유, 남규김, 상현조, 기홍
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