Case Reports and Debate on Spinal Disorders

Mr. I, age 31, has no significant past medical history and awoke with neck pain 2 hours before coming to the emergency department. He described his pain as sharp, rated 8 to 9 out of a possible 10 in intensity, and localizing to his neck and upper back without extremity radiation. During initial triage, some subtle weakness of the lower extremities was noted, but Mr. I remained ambulatory. While awaiting further assessment, he remarked that his legs became numb and his leg motor strength weaker. Mr. I was sent for an emergent cervicothoracic MRI and findings showed a large dorsal epidural hematoma with severe spinal cord compression from C5 to T2.

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