{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T07:06:24Z","timestamp":1790838384404,"version":"4.1.0"},"reference-count":28,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","license":[{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,7,15]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Cervical epidural hematomas are rare and can arise for many reasons. Patients typically present with pain and\/or symptoms of spinal cord compression. Prompt surgical decompression is typically pursued when deficits are present in an effort to improve long-term neurological outcomes. However, the authors report the case of a patient with a traumatic dorsal cervical epidural hematoma with spontaneous resolution within 16 hours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 49-year-old male with a history of C5\u20136 anterior cervical fusion 3 years prior presented with neck pain after blunt force trauma. The exam revealed only tenderness in the cervical spine. Initial computed tomography revealed fractures of C1 and C4. Urgent magnetic resonance imaging (MRI) demonstrated a dorsal cervical epidural hematoma causing compression of the spinal cord from the occiput to C5. An operation was scheduled for the following morning; however, after he reported new symptoms, repeat MRI was performed, which confirmed no evidence of a cervical epidural hematoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>This case demonstrates that a traumatic cervical epidural hematoma can resolve spontaneously within a short time frame. Close monitoring of these patients is vital, and it is important to reimage patients if new signs and\/or symptoms arise to potentially change the timing and\/or nature of the proposed surgery.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE24167\">https:\/\/thejns.org\/doi\/10.3171\/CASE24167<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24167","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T02:50:52Z","timestamp":1721011852000},"source":"Crossref","is-referenced-by-count":4,"title":["Spontaneous resolution of traumatic cervical epidural hematoma: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Grace R","family":"Fassina","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherwin A","family":"Tavakol","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caple A","family":"Spence","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Integris Health, Oklahoma City, Oklahoma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher S","family":"Graffeo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"8","key":"bib1","series-title":"J Am Acad Orthop Surg","first-page":"494","article-title":"Spinal epidural hematoma","volume":"18","author":"Al-Mutair","year":"2010","unstructured":"Al-Mutair ABednar DA. Spinal epidural hematoma. J Am Acad Orthop Surg. 2010;18(8):494-502."},{"issue":"1","key":"bib2","series-title":"Asian J Neurosurg","first-page":"54","article-title":"Spontaneous epidural hematoma of spine associated with clopidogrel: a case study and review of the literature","volume":"10","author":"Bhat","year":"2015","unstructured":"Bhat KJKapoor SWatali YZSharma JR. Spontaneous epidural hematoma of spine associated with clopidogrel: a case study and review of the literature. Asian J Neurosurg. 2015;10(1):54."},{"issue":"1","key":"bib3","series-title":"J Spine Surg","first-page":"58","article-title":"Spontaneous spinal epidural hematoma: literature review","volume":"3","author":"Figueroa","year":"2017","unstructured":"Figueroa JDeVine JG. Spontaneous spinal epidural hematoma: literature review. J Spine Surg. 2017;3(1):58-63."},{"issue":"3","key":"bib4","series-title":"J Spinal Cord Med","first-page":"205","article-title":"Neuroimaging in traumatic spinal cord injury: an evidence-based review for clinical practice and research","volume":"30","author":"Lammertse","year":"2007","unstructured":"Lammertse DDungan DDreisbach J, et al. Neuroimaging in traumatic spinal cord injury: an evidence-based review for clinical practice and research. J Spinal Cord Med. 2007;30(3):205-214."},{"issue":"1095","key":"bib5","series-title":"Br J Radiol","first-page":"20180532","article-title":"MR imaging of spinal haematoma: a pictorial review","volume":"92","author":"Moriarty","year":"2019","unstructured":"Moriarty HKO Cearbhaill RMoriarty PDStanley ELawler LPKavanagh EC. MR imaging of spinal haematoma: a pictorial review. Br J Radiol. 2019;92(1095):20180532."},{"issue":"1","key":"bib6","series-title":"Neurosurg Rev","first-page":"1","article-title":"Spinal hematoma: a literature survey with meta-analysis of 613 patients","volume":"26","author":"Kreppel","year":"2003","unstructured":"Kreppel DAntoniadis GSeeling W. Spinal hematoma: a literature survey with meta-analysis of 613 patients. Neurosurg Rev. 2003;26(1):1-49."},{"issue":"9","key":"bib7","series-title":"Surg Neurol Int","first-page":"213","article-title":"A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma","volume":"9","author":"Kashyap","year":"2018","unstructured":"Kashyap SMajeed GLawandy S. A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma. Surg Neurol Int. 2018;9(9):213."},{"issue":"1","key":"bib8","series-title":"J Neurosurg","first-page":"143","article-title":"Spontaneous cervical epidural hematoma: a consideration of etiology","volume":"61","author":"Beatty","year":"1984","unstructured":"Beatty RMWinston KR. Spontaneous cervical epidural hematoma: a consideration of etiology. J Neurosurg. 1984;61(1):143-148."},{"issue":"2","key":"bib9","series-title":"Neurosurgery","first-page":"408","article-title":"Traumatic epidural hematoma of the cervical spine: magnetic resonance imaging diagnosis and spontaneous resolution: case report","volume":"44","author":"Lefranc","year":"1999","unstructured":"Lefranc FDavid PBrotchi JDe Witte O. Traumatic epidural hematoma of the cervical spine: magnetic resonance imaging diagnosis and spontaneous resolution: case report. Neurosurgery. 1999;44(2):408-410."},{"issue":"5","key":"bib10","series-title":"South Med J","first-page":"580","article-title":"Acute epidural hematoma of cervical spine: an unusual cause of neck pain","volume":"88","author":"Lobitz","year":"1995","unstructured":"Lobitz BGrate I. Acute epidural hematoma of cervical spine: an unusual cause of neck pain. South Med J. 1995;88(5):580-582."},{"issue":"11","key":"bib11","series-title":"Injury","first-page":"2529","article-title":"Post-traumatic cervical spine epidural hematoma: incidence and risk factors","volume":"48","author":"Ricart","year":"2017","unstructured":"Ricart PAVerma RFineberg SJ, et al. Post-traumatic cervical spine epidural hematoma: incidence and risk factors. Injury. 2017;48(11):2529-2533."},{"issue":"11","key":"bib12","series-title":"Cureus","first-page":"e31767","article-title":"A rare case of traumatic cervical spinal epidural hematoma in a toddler: a two-year follow-up","volume":"14","author":"Abdul Latiff","year":"2022","unstructured":"Abdul Latiff AMuhamad Ariffin MH. A rare case of traumatic cervical spinal epidural hematoma in a toddler: a two-year follow-up. Cureus. 2022;14(11):e31767."},{"issue":"1","key":"bib13","series-title":"J Neurosurg Spine","first-page":"128","article-title":"Magnetic resonance imaging\u2013monitored conservative management of traumatic spinal epidural hematoma: report for four cases","volume":"91","author":"La Rosa","year":"1999","unstructured":"La Rosa Gd\u2019Avella DConti A, et al. Magnetic resonance imaging\u2013monitored conservative management of traumatic spinal epidural hematoma: report for four cases. J Neurosurg Spine. 1999;91(1):128-132."},{"key":"bib14","series-title":"World Neurosurg","first-page":"673.e5","article-title":"Effective steroid treatment in traumatic cervical spinal epidural hematoma presenting with delayed tetraparesis: two case reports and literature review","volume":"91","author":"Lin","year":"2016","unstructured":"Lin TCLiu ZHBowes ALLee STTu PH. Effective steroid treatment in traumatic cervical spinal epidural hematoma presenting with delayed tetraparesis: two case reports and literature review. World Neurosurg. 2016;91:673.e5-673.e9."},{"issue":"8","key":"bib1","series-title":"J Am Acad Orthop Surg","first-page":"494","article-title":"Spinal epidural hematoma","volume":"18","author":"Al-Mutair","year":"2010","unstructured":"Al-Mutair ABednar DA. Spinal epidural hematoma. J Am Acad Orthop Surg. 2010;18(8):494-502."},{"issue":"1","key":"bib2","series-title":"Asian J Neurosurg","first-page":"54","article-title":"Spontaneous epidural hematoma of spine associated with clopidogrel: a case study and review of the literature","volume":"10","author":"Bhat","year":"2015","unstructured":"Bhat KJKapoor SWatali YZSharma JR. Spontaneous epidural hematoma of spine associated with clopidogrel: a case study and review of the literature. Asian J Neurosurg. 2015;10(1):54."},{"issue":"1","key":"bib3","series-title":"J Spine Surg","first-page":"58","article-title":"Spontaneous spinal epidural hematoma: literature review","volume":"3","author":"Figueroa","year":"2017","unstructured":"Figueroa JDeVine JG. Spontaneous spinal epidural hematoma: literature review. J Spine Surg. 2017;3(1):58-63."},{"issue":"3","key":"bib4","series-title":"J Spinal Cord Med","first-page":"205","article-title":"Neuroimaging in traumatic spinal cord injury: an evidence-based review for clinical practice and research","volume":"30","author":"Lammertse","year":"2007","unstructured":"Lammertse DDungan DDreisbach J, et al. Neuroimaging in traumatic spinal cord injury: an evidence-based review for clinical practice and research. J Spinal Cord Med. 2007;30(3):205-214."},{"issue":"1095","key":"bib5","series-title":"Br J Radiol","first-page":"20180532","article-title":"MR imaging of spinal haematoma: a pictorial review","volume":"92","author":"Moriarty","year":"2019","unstructured":"Moriarty HKO Cearbhaill RMoriarty PDStanley ELawler LPKavanagh EC. MR imaging of spinal haematoma: a pictorial review. Br J Radiol. 2019;92(1095):20180532."},{"issue":"1","key":"bib6","series-title":"Neurosurg Rev","first-page":"1","article-title":"Spinal hematoma: a literature survey with meta-analysis of 613 patients","volume":"26","author":"Kreppel","year":"2003","unstructured":"Kreppel DAntoniadis GSeeling W. Spinal hematoma: a literature survey with meta-analysis of 613 patients. Neurosurg Rev. 2003;26(1):1-49."},{"issue":"9","key":"bib7","series-title":"Surg Neurol Int","first-page":"213","article-title":"A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma","volume":"9","author":"Kashyap","year":"2018","unstructured":"Kashyap SMajeed GLawandy S. A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma. Surg Neurol Int. 2018;9(9):213."},{"issue":"1","key":"bib8","series-title":"J Neurosurg","first-page":"143","article-title":"Spontaneous cervical epidural hematoma: a consideration of etiology","volume":"61","author":"Beatty","year":"1984","unstructured":"Beatty RMWinston KR. Spontaneous cervical epidural hematoma: a consideration of etiology. J Neurosurg. 1984;61(1):143-148."},{"issue":"2","key":"bib9","series-title":"Neurosurgery","first-page":"408","article-title":"Traumatic epidural hematoma of the cervical spine: magnetic resonance imaging diagnosis and spontaneous resolution: case report","volume":"44","author":"Lefranc","year":"1999","unstructured":"Lefranc FDavid PBrotchi JDe Witte O. Traumatic epidural hematoma of the cervical spine: magnetic resonance imaging diagnosis and spontaneous resolution: case report. Neurosurgery. 1999;44(2):408-410."},{"issue":"5","key":"bib10","series-title":"South Med J","first-page":"580","article-title":"Acute epidural hematoma of cervical spine: an unusual cause of neck pain","volume":"88","author":"Lobitz","year":"1995","unstructured":"Lobitz BGrate I. Acute epidural hematoma of cervical spine: an unusual cause of neck pain. South Med J. 1995;88(5):580-582."},{"issue":"11","key":"bib11","series-title":"Injury","first-page":"2529","article-title":"Post-traumatic cervical spine epidural hematoma: incidence and risk factors","volume":"48","author":"Ricart","year":"2017","unstructured":"Ricart PAVerma RFineberg SJ, et al. Post-traumatic cervical spine epidural hematoma: incidence and risk factors. Injury. 2017;48(11):2529-2533."},{"issue":"11","key":"bib12","series-title":"Cureus","first-page":"e31767","article-title":"A rare case of traumatic cervical spinal epidural hematoma in a toddler: a two-year follow-up","volume":"14","author":"Abdul Latiff","year":"2022","unstructured":"Abdul Latiff AMuhamad Ariffin MH. A rare case of traumatic cervical spinal epidural hematoma in a toddler: a two-year follow-up. Cureus. 2022;14(11):e31767."},{"issue":"1","key":"bib13","series-title":"J Neurosurg Spine","first-page":"128","article-title":"Magnetic resonance imaging\u2013monitored conservative management of traumatic spinal epidural hematoma: report for four cases","volume":"91","author":"La Rosa","year":"1999","unstructured":"La Rosa Gd\u2019Avella DConti A, et al. Magnetic resonance imaging\u2013monitored conservative management of traumatic spinal epidural hematoma: report for four cases. J Neurosurg Spine. 1999;91(1):128-132."},{"key":"bib14","series-title":"World Neurosurg","first-page":"673.e5","article-title":"Effective steroid treatment in traumatic cervical spinal epidural hematoma presenting with delayed tetraparesis: two case reports and literature review","volume":"91","author":"Lin","year":"2016","unstructured":"Lin TCLiu ZHBowes ALLee STTu PH. Effective steroid treatment in traumatic cervical spinal epidural hematoma presenting with delayed tetraparesis: two case reports and literature review. World Neurosurg. 2016;91:673.e5-673.e9."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/3\/article-CASE24167.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/3\/article-CASE24167.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/3\/article-CASE24167.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:55:22Z","timestamp":1769687722000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/3\/article-CASE24167.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,15]]},"references-count":28,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/case24167","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,15]]}}}