A rare event of a fall causing delayed intrathyroidal hematoma and respiratory distress is reported here. A 75-year-old woman with symptoms of vertigo causing syncope and fall 24 h earlier was seen and discharged from our emergency department after an unremarkable physical exam and 6-h observation period. Within 3 h of discharge, the patient was transported back by Emergency Medical Services wi...

Spontaneous cervical epidural hematoma (SCEDH) is a rare disease, but can cause severe neurologic impairment. We report a case of a 68-year-old female who presented with sudden onset, posterior neck pain, right shoulder pain, and progressive right hemiparesis mimicking stroke with no trauma history. Initial brain CT and diffusion MRI performed to rule out brain lesion did not show any positive ...

INTRODUCTION Headaches are common after a motor vehicle accident (MVA). Post-traumatic headaches share many clinical symptoms including the clinical course of primary headaches. Secondary headaches (including those resulting from a subdural hematoma) are not as common, but should be considered in cases of post-traumatic events particularly if clinical symptoms progress. CLINICAL FEATURES A ca...

It is well known that blunt neck trauma, when compared to a penetrating injury in the same anatomical area, is very rare. We report a case of an 81-year-old Caucasian woman with a blunt life-threatening neck trauma due to a bully goat. Although rare, direct evaluation should always be done in these cases because any misinterpretation may result in unfavorable outcomes. We have to highlight that...

RATIONALE Acute neurological deficits following spinal surgery commonly result from epidural hematoma, surgical trauma, vascular compromise, and graft or hardware impingement, with the cause identified by magnetic resonance imaging (MRI). We present a rare case of dynamic paraspinal muscle impingement after C1 posterior arch laminectomy, which was diagnosed by myelography, with no significant f...

BackgroundRecurrent laryngeal nerve (RLN) injury is a serious complication of thyroidectomy. The purpose this study to determine the predictors and consequences RLN during thyroidectomy.MethodsA retrospective analysis was conducted using ACS-NSQIP 2016–2017 main thyroidectomy targeted procedure databases. Data analyzed by multivariate logistic regression resulting in risk-adjusted odds ratios m...

We present the case of a 52-year-old female born in the Sahara, who came to emergency services because of a cervical mass that had been growing progressively for the past 7 months (Fig. 1A). The patient presented moderate-effort dyspnea and dysphagia, without fever. Relevant personal antecedents included intervention for multinodular goiter a year earlier in Mauritania. Physical examination rev...

Acupuncture at Fengchi (GB20) in the posterior neck improves vertigo. However, subarachnoid hemorrhage and spinal epidural hematoma have been reported to occur after acupuncture in the posterior neck. Therefore, in the present study, we assessed the safety of acupuncture at Fengchi. Laboratory tests and adverse event reports were used to evaluate the safety of different acupuncture manipulation...

Today the new coronavirus infection remains one of most important problems modern medicine. Among patients requiring hospital treatment, development various extrapulmonary complications is quite common. The work devoted to study spontaneous hematomas localization against background a severe course treated in an infectious period from 2020 2021. During selected time, 17 had localizations (anteri...

Brown-Sequard syndrome secondary to compression of the spinal cord by an epidural haematoma following minor trauma is rare. A 65-year-old woman presented with neck pain and sudden onset hemiplegia with contralateral anaesthesia. Magnetic resonance imaging showed a haematoma in the epidural space in the C3 to C5 levels. She underwent open-door laminoplasty for evacuation of the haematoma. At the...