{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T11:46:21Z","timestamp":1782560781064,"version":"3.54.5"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Spontaneous spinal epidural hematoma (SSEH), with an annual incidence of 0.1 per 100\u2009000 individuals, typically presents with acute spinal pain followed by neurological deficits. We describe the case of a 73-year-old woman who presented with acute posterior neck and back pain without overt neurological deficits. While contrast-enhanced computed tomography (CT) was primarily performed to exclude aortic dissection, it played a critical role in incidentally identifying a hyperattenuating epidural lesion, which was subsequently confirmed as a dorsal cervical epidural hematoma by magnetic resonance imaging. Given the patient\u2019s stable neurological condition, conservative management was adopted, resulting in complete recovery without sequelae. This case underscores that SSEH may manifest solely as pain and that CT, even when performed to exclude other vascular emergencies, can provide an incidental yet critical initial diagnostic clue, facilitating timely diagnosis and appropriate management.<\/jats:p>","DOI":"10.1093\/omcr\/omag085","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T11:44:12Z","timestamp":1777031052000},"source":"Crossref","is-referenced-by-count":0,"title":["Computed tomographic detection of a spontaneous cervical spinal epidural hematoma in a patient without overt neurological deficits"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4987-1179","authenticated-orcid":false,"given":"Tomoya","family":"Yamaguchi","sequence":"first","affiliation":[{"name":"Emergency Medical Center, Kagawa University Hospital , 1750-1 Ikenobe, Miki, Kita-gun, Kagawa 761-0793,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hikari","family":"Matsumura","sequence":"additional","affiliation":[{"name":"Emergency Medical Center, Kagawa University Hospital , 1750-1 Ikenobe, Miki, Kita-gun, Kagawa 761-0793,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Hiraba","sequence":"additional","affiliation":[{"name":"Emergency Medical Center, Kagawa University Hospital , 1750-1 Ikenobe, Miki, Kita-gun, Kagawa 761-0793,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moe","family":"Sekiguchi","sequence":"additional","affiliation":[{"name":"Emergency Medical Center, Kagawa University Hospital , 1750-1 Ikenobe, Miki, Kita-gun, Kagawa 761-0793,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoya","family":"Ishibashi","sequence":"additional","affiliation":[{"name":"Emergency Medical Center, Kagawa University Hospital , 1750-1 Ikenobe, Miki, Kita-gun, Kagawa 761-0793,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayaka","family":"Kinugasa","sequence":"additional","affiliation":[{"name":"Emergency Medical Center, Kagawa University Hospital , 1750-1 Ikenobe, Miki, Kita-gun, Kagawa 761-0793,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koshiro","family":"Takano","sequence":"additional","affiliation":[{"name":"Emergency Medical Center, Kagawa University Hospital , 1750-1 Ikenobe, Miki, Kita-gun, Kagawa 761-0793,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajime","family":"Shishido","sequence":"additional","affiliation":[{"name":"Emergency Medical Center, Kagawa University Hospital , 1750-1 Ikenobe, Miki, Kita-gun, Kagawa 761-0793,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenya","family":"Kawakita","sequence":"additional","affiliation":[{"name":"Emergency Medical Center, Kagawa University Hospital , 1750-1 Ikenobe, Miki, Kita-gun, Kagawa 761-0793,","place":["Japan"]},{"name":"Department of Emergency, Disaster, and Critical Care Medicine , Faculty of Medicine, Kagawa University, 1750-1 Ikenobe, Miki, Kita-gun, Kagawa 761-0793,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"2026062707162510700_ref1","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1016\/0090-3019(81)90178-6","article-title":"Preoperative neurological status in predicting surgical outcome of spinal epidural hematomas","volume":"15","author":"Foo","year":"1981","journal-title":"Surg Neurol"},{"key":"2026062707162510700_ref2","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1179\/2045772312Y.0000000001","article-title":"Spontaneous cervical epidural hematoma of idiopathic etiology: case report and review of literature","volume":"35","author":"Gopalkrishnan","year":"2012","journal-title":"J Spinal Cord Med"},{"key":"2026062707162510700_ref3","doi-asserted-by":"publisher","first-page":"58","DOI":"10.21037\/jss.2017.02.04","article-title":"Spontaneous spinal epidural hematoma: literature review","volume":"3","author":"Figueroa","year":"2017","journal-title":"J Spine Surg"},{"key":"2026062707162510700_ref4","doi-asserted-by":"publisher","first-page":"26","DOI":"10.14444\/5005","article-title":"Spontaneous epidural hematoma of cervical spine","volume":"12","author":"Salehpour","year":"2018","journal-title":"Int J Spine Surg"},{"key":"2026062707162510700_ref5","doi-asserted-by":"publisher","first-page":"206","DOI":"10.2185\/jrm.3005","article-title":"Clinical features of spontaneous spinal epidural hematoma","volume":"14","author":"Eto","year":"2019","journal-title":"J Rural Med"},{"key":"2026062707162510700_ref6","doi-asserted-by":"publisher","first-page":"143","DOI":"10.3171\/jns.1984.61.1.0143","article-title":"Spontaneous cervical epidural hematoma. 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