Hematome extradural spinal post traumatique: a propos d’un cas

L’hematome epidural spinal (HEDS) d’origine traumatique est une pathologie rare. Le scanner peut aider au diagnostic en l’absence d’IRM. Nous rapportons un cas d’HEDS de resolution spontanee. Et nous discutons les conditions difficiles de gestion des urgences au CHU Sylvanus OLYMPIO. Devant une telle urgence necessitant un traitement chirurgical sans delai, l’absence de ce traitement est liee a l’insuffisance du systeme de couverture sociale. En attendant plus de 2 semaines sans que le patient puisse acheter les dispositifs medicaux pour la chirurgie, nous avons alors observe de facon aleatoire une recuperation neurologique progressive s’installer. Une reeducation fonctionnelle a ete prescrite. A J22 la recuperation neurologique etait complete. Mots cles: Hematome extradural, rachis cervical, traumatique English Title:  Posttraumatic epidural haematoma: a case report English Abstract Posttraumatic spinal epidural haematoma is a rare pathology. The diagnosis is easy on spinal CTScann if the MRI is not available. We report a case of spinal epidural hematoma with spontaneous resolution. We discuss the difficulties of managing emergency at CHU Sylvanus OLYMPIO. In front of this emergency case needing surgery immediately, the lack of surgery decompression was the consequence of our inadequate system of insurance. Waiting more than 2 weeks the patients and his family to buy the medical disposal for surgery, he start moving his legs. Physiotherapy was done. After 22 days he completely improved neurological status. Keywords: Traumatic, cervical spine, epidural haematoma