An 80-year-old white male suffered a stroke, fell to the floor, and suffered acute right hemiparesis and facial palsy. After an intravenous alteplase infusion 2.5 h later, the patient first complained of numbness in his right arm, then neck pain, followed by left leg numbness and slowly progressing paraparesis. MRI of the spine demonstrated an acute spinal dorsal epidural hematoma extending fro...

PURPOSE To emphasize the importance of early recognition and emergent surgery for spontaneous spinal epidural hematoma (SSEH). CASE REPORT A 61-year-old female presented with sudden onset of severe neck and back pain after finishing worshiping Buddha followed by quadriparesis, sensory deficits below C4 level and sphincter dysfunction. MR imaging demonstrated acute extensive epidural hematoma ...

Hematoma alone is the most common vascular complication reported after anterior cervical decompression and fusion (ACDF). We present this case to report the occurrence of postoperative cervical hematoma complicated by ipsilateral carotid thrombosis and aphasia after an uncomplicated C4-6 ACDF. This is a case of a 65-year-old woman who underwent revision fusions of the C4-5 and C6-7 levels compl...

A 36-year-old man presented to the emergency department with a sudden choking feeling, sore throat and difficulty swallowing immediately after eating dinner. He had no respiratory or gastrointestinal problems, and denied any history of allergy. An enlarged uvula and hematoma were observed (Picture). There was no swelling of the face and neck, or erythema of the overlying skin. Additionally, the...

BACKGROUND Retropharyngeal hematoma (RPH) is rare; however, it causes airway obstruction and can be fatal. Stellate ganglion block (SGB) can cause RPH. The authors analyzed reports of patients with RPH after SGB to clarify the initial symptoms and signs, and the urgency of airway management. METHODS MEDLINE and Japana Centra Revuo Medicina were searched for reports of RPH after SGB using the ...

OBJECTIVE Penetrating carotid trauma in a hemodynamically stable patient invariably presents with a pseudoaneurysm on initial imaging. Although extremely rare, delayed pseudoaneurysm formation has been reported. The purpose of this paper is to define this rare entity and propose a diagnostic and treatment plan. METHODS We present a case of delayed presentation of carotid pseudoaneurysm follow...

Introduction Being one of the few activities that people of all ages and skill level can play, golf has increased in popularity. Consequently golf-related injuries have been notably increasing over the past few years. This particularly occurs in the paediatric age group.1 Head injury in this sport is most likely to be caused by golf clubs, however there have been reported cases in the literatur...

Inferior thyroid artery (ITA) rupture is rare and may progress to life-threatening conditions. We present a patient who visited the emergency department after an episode of syncope and dizziness in which he had a mechanical fall that resulted in abrasions and a hematoma to his left forehead. The patient presented with dysphagia and anterior neck swelling that progressed rapidly into airway comp...