Spinal epidural hematoma after stretch exercise: a case report
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Fig. 1
(A) Computed tomography without contrast enhancement showing hyperdense lesions extending from C5 to C6 posterior to the spinal cord. (B) T2-weighted MRI showing high intensity signal lesions compressing spinal cord at the levels from C5 to C6 of cervical spine.
Spinal epidural hematoma (SEH) is a rare but serious condition. Common causes of SEH include spinal fracture, spinal trauma, and invasive spinal procedures such as lumbar puncture, epidural anesthesia, or myelography. A few previous reports have suggested that SEH could be caused by minor triggers such as spinal manipulation therapy or spontaneously in rare cases. A 60-year-old man, immediately after stretch exercise, developed severe back cervicodynia and rapidly progressive weakness of left arm from SEH.
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