• Mehmet G Boyaci, Adem Aslan, Kamil Tünay, Mustafa Karademir, and Arda Aydoğmuş.
• Faculty of Medicine, Department of Neurosurgery, Afyon Kocatepe University, Afyonkarahisar, Turkey.
• Spine. 2017 Jan 15; 42 (2): E125-E127.

Study DesignA retrospective case report.ObjectiveThe objective of this article is to report a spinal epidural hematoma (SEH) due to shock wave.Summary Of Background DataSEH 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.MethodsA 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.ResultsThe patient was discharged from the hospital with complete neurologic recovery.ConclusionSEH should be considered possible in the blast injury. SEH condition carries a significant risk of morbidity and mortality without early recognition and rapid management.Level Of Evidence5.

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