Cervical spinal epidural hematoma mimics acute ischemic stroke

Liou, Kuang-Chung; Chen, Luan; Lin, Ya-Ju

doi:10.1016/j.ajem.2011.06.018

Cited by 24 publications

(23 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Cord compression causes myelopathy and cord syndromes. Because of the variety of symptoms, SEH is sometimes not suspected at initial presentation and can reportedly occasionally mimic stroke or cord injury 2,4,5,8,9) . In polytraumatic patients, other injuries may mask SEH.…”

Section: Discussionmentioning

confidence: 99%

Traumatic C1–C3 Spinal Epidural Hematoma Presented with Occipital Neuralgia

Hwang

Park

You

et al. 2018

Nerve

View full text Add to dashboard Cite

A 32-year-old woman presented to our hospital with occipital headache for >1 week following head trauma. She showed no other neurologic symptoms. Pain was aggravated by cervical flexion. Magnetic resonance imaging (MRI) findings showed a spinal epidural hematoma (SEH) at the C1 to C3 level. The C2 roots were encircled and compressed by the hematoma. Medication was prescribed and a neck collar was applied for symptom control. After three weeks, her occipital neuralgia disappeared and cervical flexion did not provoke pain. Followup MRI findings showed total resolution of the SEH. The findings of this case illustrate that occipital neuralgia, especially if characterized by rapid onset, can be caused by SEH after trauma.

show abstract

Section: Discussionmentioning

confidence: 99%

Traumatic C1–C3 Spinal Epidural Hematoma Presented with Occipital Neuralgia

Hwang

Park

You

et al. 2018

Nerve

View full text Add to dashboard Cite

show abstract

“…However, it is difficult to determine whether cervical spinal lesions are present in elderly patients with intracranial lesions, especially when they are concomitant with cranial neuropathies such as dysarthria or hemi facial palsy. Previous reports have described acute cervical spinal cord lesions that were misdiagnosed as acute ischemic strokes (1, 2). In addition to her hemiparesis, the patient in the current study also presented with central-type facial palsy, so it was strongly suggested that the underlying pathology was an intracranial lesion.…”

Section: Discussionmentioning

confidence: 99%

Acute Hemiparesis in a Healthy Elderly Woman: Where and What Is the Lesion?

et al. 2017

View full text Add to dashboard Cite

Hemiparesis may be the result of lesions in the contralateral pyramidal tract in the brain or, less frequently, in the ipsilateral pyramidal tract in the upper cervical spinal cord. However, although rare, multiple lesions that simultaneously occur in both of these regions may be the cause of acute hemiparesis, and the clinical symptoms can often be misdiagnosed as a stroke. In addition, the correct diagnosis of these multiple central nervous system (CNS) lesions is very challenging if they are caused by infection from an unexpected microorganism. We evaluated an elderly healthy woman who presented with acute hemiparesis and multiple brain and spinal cord lesions that were confirmed to occur from an infection with Propionibacterium acnes. In this report, the differential diagnosis and histopathological findings are discussed for these multiple CNS lesions in this healthy woman.

show abstract

“…The imaging analyses routinely applied for patients with acute cerebral ischemia do not rule out spinal bleeding, while the higher a cervical SSEH extends, the more likely it is to be seen on non-contrast computed tomographic scans 4. The sudden onset of neck and/or back pain and progression of hemiparesis to paraplegia or tetraplegia during the observation period are clues leading to a timely diagnosis of cervical spinal lesions 4,19,24,27,30–32. Although there may be limited access to MRI,46 negative brain MRI findings, which strongly suggest the absence of ischemic cerebrovascular events,47 may be an alternative trail turning the attention towards other regions, including the cervical spine.…”

Section: Perspectivesmentioning

confidence: 99%

Spontaneous Spinal Epidural Hematoma as a Potentially Important Stroke Mimic

Akimoto

Yamada

Shinoda

et al. 2014

J Cent Nerv Syst Dis

View full text Add to dashboard Cite

Hemiparesis develops in response to a wide range of neurological disorders, such as stroke, neoplasms and several inflammatory processes. Occasionally, it may also occur due to a lesion located in the high cervical spinal cord. In this concise review, we describe the features of spontaneous spinal epidural hematoma, which should be included in the large list of stroke mimics. Various concerns regarding the diagnostic and therapeutic conundrums relating to the condition are also discussed.

show abstract

Cervical spinal epidural hematoma mimics acute ischemic stroke

Cited by 24 publications

References 16 publications

Traumatic C1–C3 Spinal Epidural Hematoma Presented with Occipital Neuralgia

Traumatic C1–C3 Spinal Epidural Hematoma Presented with Occipital Neuralgia

Acute Hemiparesis in a Healthy Elderly Woman: Where and What Is the Lesion?

Spontaneous Spinal Epidural Hematoma as a Potentially Important Stroke Mimic

Contact Info

Product

Resources

About