Acute Spontaneous Cervical Epidural Hematoma Mimicking Cerebral Stroke: A Case Report and Literature Review
Korean Journal of Spine
; : 170-173, 2013.
Article
en En
| WPRIM
| ID: wpr-35264
Biblioteca responsable:
WPRO
ABSTRACT
Spontaneous cervical epidural hematoma (SCEDH) is a rare disease, but can cause severe neurologic impairment. We report a case of a 68-year-old female who presented with sudden onset, posterior neck pain, right shoulder pain, and progressive right hemiparesis mimicking stroke with no trauma history. Initial brain CT and diffusion MRI performed to rule out brain lesion did not show any positive findings. Laboratory examination presented only severe thrombocytopenia (45,000/mm3). Subsequent cervical MRI revealed a cervical epidural mass lesion. We confirmed that it was pure hematoma through C5 unilateral total laminectomy and C6 partial hemilaminectomy. She achieved complete neurologic recovery with active rehabilitation. Early surgical decompression for SCEDH with neurologic impairment should be recommended for better outcome.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Paresia
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Trombocitopenia
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Encéfalo
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Dolor de Cuello
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Descompresión Quirúrgica
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Dolor de Hombro
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Accidente Cerebrovascular
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Enfermedades Raras
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Imagen de Difusión por Resonancia Magnética
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Hematoma
Límite:
Aged
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Female
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Humans
Idioma:
En
Revista:
Korean Journal of Spine
Año:
2013
Tipo del documento:
Article