A Case of Spontaneous Spinal Epidural Hematoma Misidentified as a Middle Cerebral Artery Infarction
Journal of the Korean Society of Emergency Medicine
;
: 206-209, 2014.
Article
in Korean
| WPRIM
| ID: wpr-223735
ABSTRACT
Spontaneous spinal epidural hematoma (SSEH) is an uncommon cause of spinal cord compression. Early diagnosis and appropriate management are important, however, diagnosis is often difficult due to variable neurologic deficit. We report on the case of a 69-year-old female patient in right hemiparesis. She was treated with thrombolysis therapy for acute cerebral infarction before being transferred to our hospital. Findings on a cervical spine magnetic resonance image showed spinal epidural hematoma and cord compression. She was prepared to undergo decompressive surgery, however, neurologic deficits began to show improvement. She was managed conservatively and was discharged without deficits approximately nine days after onset.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paresis
/
Spinal Cord Compression
/
Spine
/
Cerebral Infarction
/
Infarction, Middle Cerebral Artery
/
Early Diagnosis
/
Hematoma, Epidural, Spinal
/
Diagnosis
/
Neurologic Manifestations
Type of study:
Diagnostic study
/
Screening study
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2014
Type:
Article
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