{"id":"dc38a3c5-dfca-4ebc-b139-3f955102ae68","slug":"spontaneous-anterior-cervicothoracic-spinal-epidural-hematoma-extending-to-clivus-in-sars-cov-2-infection","title":"Spontaneous anterior cervicothoracic spinal epidural hematoma extending to clivus in SARS-CoV-2 infection","authors":["Gianluca Scalia","Giuseppe Emmanuele Umana","Salvatore Marrone","Francesca Graziano","Angelo Giuffrida","Giancarlo Ponzo","Massimiliano Giuffrida","Massimo Furnari","Gianluca Galvano","Santo Bonanno","Giovanni Federico Nicoletti"],"abstract":"Background: The treatment of spontaneous spinal epidural hematomas (SSEHs), depending on the lesion size and myeloradicular involvement, can be surgical or conservative. Here, we present a 55-year-old patient who sustained a SSEH several months following a systemic SARS-CoV-2 infection. Case Description: A 55-year-old immunocompromised female (i.e., history 17 years ago of Hodgkin’s lymphoma, nodular sclerosis variant) recently developed a SARS-CoV-2 infection treated with nonsteroidal anti-inflammatory agents. She then reported the sudden onset of cervicodorsalgia after a slight cervical flexion/extension maneuver. The brain and cervicothoracic spine MRI studies documented a clival anterior spinal epidural hematoma with maximum spinal compression at the T1-T2 level; it also extended inferiorly to the T6 level. Two weeks later, the follow-up MRI showed a remarkable reduction in the anteroposterior diameter of the hematoma that correlated with significant neurological improvement and almost complete pain regression. She was discharged after a total 15-day hospital stay, with complete symptoms relief. Conclusion: We present a 55-year-old chronically immunocompromised (i.e., due to the history of Hodgkin’s lymphoma) female who, following a SARS-CoV-2 infection, developed an anterior SSEH extending from the clivus to the T6 spinal level that spontaneously regressed without surgical intervention.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/dc38a3c5-dfca-4ebc-b139-3f955102ae68/featured/hero-1781562489471.png","publishDate":"2021-04-26T00:00:00.000Z","doi":"10.25259/SNI_40_2021","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2021/04/10764/SNI-12-181.pdf"}