A case of spontaneous spinal epidural hematoma mimicking transient ischemic attack

Liu, Cong; Liu, Xiuli; Liu, Yan; Ma, Guomei; Li, Hui; Han, Jingzhe; Xiang, Yang

doi:10.1080/00207454.2020.1858826

Cited by 4 publications

(4 citation statements)

References 9 publications

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“…SSEH usually presents as Brown-Sequard syndrome, paraparesis or tetraparesis, with cervical or back pain. Hemiparesis is a very rare presentation of SSEH that is commonly misdiagnosed as acute ischemic (cerebral) stroke (AIS) [1,2,[4][5][6][8][9][10][11][12][13][14][15]. In patients whose symptoms were mistaken for AIS, treatment with heparin, rt-PA, aspirin and warfarin worsened their condition [1,2,[4][5][6]8,[12][13][14][15].…”

Section: Discussionmentioning

confidence: 99%

“…Hemiparesis is a very rare presentation of SSEH that is commonly misdiagnosed as acute ischemic (cerebral) stroke (AIS) [1,2,[4][5][6][8][9][10][11][12][13][14][15]. In patients whose symptoms were mistaken for AIS, treatment with heparin, rt-PA, aspirin and warfarin worsened their condition [1,2,[4][5][6]8,[12][13][14][15]. The patient's characteristics are shown in Table I.…”

Section: Discussionmentioning

confidence: 99%

“…SSEH commonly presents as tetraparesis, paraparesis or Brown-Sequard syndrome. Hemiparesis is an extremely rare presentation of SSEH that is commonly mistaken for stroke [1,2,[4][5][6][8][9][10][11][12][13][14][15]. Timely and accurate diagnosis remains challenging for neurologists.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous cervical epidural haematoma mimicking stroke: a case report and literature review

Lv¹,

Bao²,

Lou³

et al. 2022

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Spontaneous spinal epidural haematoma (SSEH) is a rare disease that requires emergency decompression or haematoma evacuation to prevent permanent neurological deficits. Hemiparesis is an extremely rare presentation of SSEH, commonly misdiagnosed as stroke. With the help of case studies and references, this paper comprehensively discusses the effective methods to distinguish SSEH from stroke and provides theoretical support and ideas for rapid and accurate identification of SSEH. Herein, we report on the case of a 51-year-old man with SSEH who presented with acute hemiparesis and posterior neck pain. Cervical computed tomography (CT) revealed cervical degeneration. A carotid CT angiogram revealed a high-density mass in the C2-C5 right posterolateral epidural region. Cervical spine magnetic resonance imaging showed SSEH. The patient was conservatively treated and discharged following a full recovery. Rapid identification of SSEH continues to present a great challenge for neurologists. A soft tissue CT scan can be used to quickly and accurately identify SSEH; however, in the absence of cranial signs, Brown-Sequard syndrome, Lhermitte's sign and Horner syndrome should be used to differentiate SSEH from stroke.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Spontaneous cervical epidural haematoma mimicking stroke: a case report and literature review

Lv¹,

Bao²,

Lou³

et al. 2022

View full text Add to dashboard Cite

show abstract

“…However, due to its low incidence and sudden onset, as well as the lack of relevant systematic epidemiological research findings, most clinicians, especially young doctors, are unaware of this condition. This lack of awareness could result in a missed optimal treatment window and lifelong neurological dysfunction for patients [2] . A patient with atypical Spontaneous Cervical Epidural Hematoma (SCEH) was admitted to our hospital, and the case report is detailed in the subsequent sections.…”

Section: Introductionmentioning

confidence: 99%