Cervical Epidural Hematoma Caused by Ruptured Arteriovenous Malformation - Case Report -

관동정맥기형 파열로 인한 경추강내의 경막외 혈종 - 증례보고 -

  • Min, Hyung-Sik (Department of Neurosurgery, College of Medicine, Ehwa Women's University) ;
  • Song, Jun-Hyeok (Department of Neurosurgery, College of Medicine, Ehwa Women's University) ;
  • Kim, Myung-Hyun (Department of Neurosurgery, College of Medicine, Ehwa Women's University) ;
  • Park, Hyang-Kwon (Department of Neurosurgery, College of Medicine, Ehwa Women's University) ;
  • Kim, Sung-Hak (Department of Neurosurgery, College of Medicine, Ehwa Women's University) ;
  • Shin, Kyu-Man (Department of Neurosurgery, College of Medicine, Ehwa Women's University) ;
  • Park, Dong-Been (Department of Neurosurgery, College of Medicine, Ehwa Women's University)
  • 민형식 (이화여자대학교 의과대학 신경외과학교실) ;
  • 송준혁 (이화여자대학교 의과대학 신경외과학교실) ;
  • 김명현 (이화여자대학교 의과대학 신경외과학교실) ;
  • 박향권 (이화여자대학교 의과대학 신경외과학교실) ;
  • 김성학 (이화여자대학교 의과대학 신경외과학교실) ;
  • 신규만 (이화여자대학교 의과대학 신경외과학교실) ;
  • 박동빈 (이화여자대학교 의과대학 신경외과학교실)
  • Received : 1999.05.21
  • Accepted : 1999.09.20
  • Published : 2000.03.28

Abstract

We report a case of spontaneous cervical epidural hematoma caused by a pure epidural arteriovenous malformation. A 22-year-old woman developed a sudden quadriplegia after a vigourous physical therapy including multiple acupunctures for her neck pain. Emergency cervical magnetic resonance image showed an epidural hematoma in her cervicothoracic junction. Emergent decompressive laminectomy and an evacuation of the hematoma were performed. A soft tissue mass found in the hematoma was proven to be an arteriovenous malformation. Postoperatively, the patient experienced some complications. However, she recovered completely from the motor weakness.

Keywords