{"id":"605177ba-bcdf-4929-86c6-5035b75e9006","slug":"spontaneous-resolved-cervical-spine-epidural-hematoma-a-case-report","title":"Spontaneous resolved cervical spine epidural hematoma: A case report","authors":["Arash Fattahi","Morteza Taheri"],"abstract":"Background: Cervical spine epidural hematomas (CSEH) are rare, and surgical intervention is typically required. Here, we present the rare case of a CSEH resulting from chiropractic manipulation successfully treated conservatively. Case Description: A 44-year-old female with cervical myelopathy presented with a mild quadriparesis following manipulation by a chiropractor. Although magnetic resonance (MR) documented a CSEH, the lesion was treated nonsurgically as the patient refused operative intervention. Four days later, the patient demonstrated spontaneous improvement. Furthermore, the 1-month post manipulation cervical MR showed resolution of the CSEH mass effect, and her myelopathy fully resolved. Conclusion: Few studies document the efficacy of conservative treatment of CSEH. In this case, a patient with cervical myelopathy presented with a mild quadriparesis following chiropractic manipulation. Although MR documented a CSEH, she refused surgery, but fortunately improved neurologically within the next 4 days and was intact within 1 postoperative month. We recommend performing more powerful studies with large sample size to better define criteria for conservative vs. surgical treatment of CSEH.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/605177ba-bcdf-4929-86c6-5035b75e9006/featured/hero-1782420904060.png","publishDate":"2017-08-10T00:00:00.000Z","doi":"10.4103/sni.sni_223_17","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/605177ba-bcdf-4929-86c6-5035b75e9006/pdf"}