title: Spontaneous Resolution of Non-traumatic Cervical Spinal Subdural Hematoma Presenting Acute Hemiparesis: A Case Report.
abstract: Spontaneous cervical SDH with no underlying pathology is a very unusual condition. To the best of the authors' knowledge, only two cases have been previously reported. A 48-year-old female patient was admitted to our emergency room due to severe neck pain following standing up position with rapid onset of hemiparesis. MRI revealed a dorsolateral subdural hematoma from C3-C5 with cord compression. An emergency laminectomy was planned, but motor weakness gradually improved during surgical preparation. The patient showed substantial clinical improvement and complete recovery was confirmed after 7 days of conservative management without surgical treatment. To determine a differential diagnosis distinct from other conditions such as cervical epidural hematoma, a lumbar spinal puncture was performed. Follow-up MRI performed 10 days after admission revealed complete resolution of the hematoma. We report an extremely rare case of spontaneous cervical spinal subdural hematoma (SDH), present a review of relevant literature, and discuss the etiology, pathogenesis, and prognosis of this case.
authors.affiliation: Department of Emergency Medicine, Chosun University College of Medicine, Gwangju, Korea.
authors.forename: Yong Jin
authors.initials: YJ
authors.lastname: Park
authors.affiliation: Department of Neurosurgery, Chosun University College of Medicine, Gwangju, Korea.
authors.forename: Seok Won
authors.initials: SW
authors.lastname: Kim
authors.affiliation: Department of Neurosurgery, Chosun University College of Medicine, Gwangju, Korea.
authors.forename: Chang Il
authors.initials: CI
authors.lastname: Ju
authors.affiliation: Department of Neurosurgery, Chosun University College of Medicine, Gwangju, Korea.
authors.forename: Hui Sun
authors.initials: HS
authors.lastname: Wang
keywords: Cervical; Spontaneous; Subdural hematoma