Spontaneous Epidural Hematoma of the Cervical Spine Mimicking a Cerebrovascular Accident: A Case Report
Arq. bras. neurocir
;
37(3): 213-216, 2018.
Article
in English
| LILACS
| ID: biblio-1362873
ABSTRACT
Objective The present study is a case report of a 57-year-old female with controlled hypertension who presented with spontaneous spinal epidural hematoma (SSEH) mimicking a cerebrovascular accident (CVA) and was successfully treated by surgical decompression. Methods A 57-year-old woman with a medical history of hypertension presented with a sudden onset of weakness in the right upper and lower extremities. Weakness of grade 3/5 was noted in her right upper and lower extremities, but there was no motor weakness of the right facial muscles. A magnetic resonance imaging (MRI) exam of the cervical spine revealed an epidural hematoma extending from level C5 to level C7, causing spinal cord compression. Results During surgery, a cervical spinal epidural hematoma (SEH) was evacuated. Postoperatively, the power in both limbs improved to grade 5/5 just after surgery. Conclusions A high degree of suspicion, meticulous history taking, and physical examination have a great importance in these rare conditions because anticoagulant therapy as a routine treatment for ischemic CVA could be life-threatening.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Spinal Cord Compression
/
Decompression, Surgical
/
Hematoma, Epidural, Spinal
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Arq. bras. neurocir
Journal subject:
Cirurgia
/
Neurosurgery
Year:
2018
Type:
Article
Affiliation country:
Iran
Institution/Affiliation country:
Fasa University of Medical Sciences/IR
/
Institute of Health, Shiraz University of Medical Sciences/IR
/
Shiraz University of Medical Sciences, Shiraz/IR
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