O A Labeodan
Department of Neurosurgery, Johannesburg Hospital, Johannesburg, Republic of South Africa
Spinal epidural haematoma is increasingly picked up using magnetic resonance imaging, especially following trauma. The presentation can be varied especially if there is a trivial history of trauma. Spontaneous subarachnoid haemorrhage can occur in spinal haematoma as a rare and unusual presentation and can be easily misdiagnosed. The key to early diagnosis is a strong suspicion and careful repeated neurological examination. We present an illustrative case.
Emergency Medicine Journal 2005;22:606-607.