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Massive Spontaneous Epidural Hematoma in a High-Level SwimmerA Case Report
Kristen Fleager, MD1; Arthur Lee, MD1; Ivan Cheng, MD1; Lewis Hou, MD1; Stephen Ryu, MD1; Maxwell Boakye, MD1
1 Stanford Medicine Outpatient Center, 450 Broadway Street M/C 6342, Redwood City, CA 94063
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at the Stanford Hospital and Clinics, Palo Alto, California

Copyright © 2010 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 Dec 01;92(17):2843-2846. doi: 10.2106/JBJS.I.01604
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A twenty-two-year-old Olympic-caliber collegiate swimmer presented to the emergency department with complaints of progressive weakness in both lower extremities. Two days earlier, the patient had noted sharp pain in the neck and the middle part of the back on waking; however, he was able to complete his morning swimming practice. He could not recall a traumatic event, but he had participated in a rigorous swim practice the day before. One day before presentation, the pain completely resolved. However, on the day of presentation, the patient had awoken from a nap with searing interscapular back pain and decreased strength in the legs. He reported no bladder or bowel difficulties at that time. He was unable to stand and was immediately taken to the emergency department.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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