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Traumatic C1–C3 Spinal Epidural Hematoma Presenting with Occipital Neuralgia
Eui Hyun Hwang, Chang Yong Park, Namkyu You , Sang Hyun Kim, Ki Hong Cho
Ajou University School of Medicine, Suwon, Korea
Correspondence  Namkyu You ,Tel: 031-219-5230, Fax: 031-219-5238, Email: nkyou@ajou.ac.kr
Received: September 3, 2018;  Accepted: September 17, 2018.  Published online: September 17, 2018.
ABSTRACT
A 32-year-old woman presented to our hospital with occipital headache for >1 week following head trauma. She showed no other neurologic symptoms. Pain was aggravated by cervical flexion. Magnetic resonance imaging (MRI) findings showed a spinal epidural hematoma (SEH) at the C1–C3 level. The C2 roots were encircled and compressed by the hematoma. Medication was prescribed and a neck collar was applied for symptom control. After three weeks, her occipital neuralgia disappeared and cervical flexion did not provoke pain. Follow-up MRI findings showed total resolution of the SEH. The findings of this case illustrate that occipital neuralgia, especially if characterized by rapid onset, can be caused by SEH after trauma.
Key words: Spinal Epidural hematoma; Trauma; Radiculopathy; Headache
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Traumatic C1–C3 Spinal Epidural Hematoma Presented with Occipital Neuralgia  2018 October;4(2)
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