An epidural hematoma may form after trauma to the cervical spine. An expanding hematoma can compress the spinal cord and/or nerve roots causing neurological deficits.

Patient selection: trauma to the cervical spine


Risk factors for epidural hematoma:

(1) higher ISS (mean 19.8 +/- 10.6; no hematoma mean 16.2 +/- 9.9

(2) ankylosing spondylitis


Risk factors for epidural hematoma with spinal cord compression:

(1) higher ISS (mean 21.4 +/- 11.5; no compression mean 16.3 +/- 9.8, or up to 26,1)

(2) elevated INR (>= 1.5)

(3) ankylosing spondylitis


A patient with risk factors should have an MRI of the cervical spine once stable.

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