Spinal Epidural Hematoma Due To Tyre-Blast Injury: A Case Report.

Study Design. A retrospective case report. Objective. The objective of this article is to report a spinal epidural hematoma (SEH) due to shock wave. Summary of Background Data. SEH is an infrequent condition. Most of SEH's are spontaneous. We have reported an SEH traumatic case without bone lesions due to exploding truck tire. A different category of blast injuries is the one related with exploding tyres. Shock waves are the main mechanism that is responsible for blast injuries. We are presenting the first report of acute SEH due to shock wave. Methods. A 33-year-old man was brought to the emergency department with complaints of weakness and numbness of the upper extremities. There was an epidural high-signal density without osseous lesion in computerized tomography from the level of C2 to C5, and there was a T2-weighted hyperintense lesion in magnetic resonance imaging from the level of C2 to C5 with compression of the spinal cord the anterior and posterior which proved to be an SEH. Results. The patient was discharged from the hospital with complete neurologic recovery. Conclusion. SEH should be considered possible in the blast injury. SEH condition carries a significant risk of morbidity and mortality without early recognition and rapid management. Conclusion. Level of Evidence: 5