Acute hemiparesis A rare presentation of spontaneous spinal epidural hematoma mimicking acute stroke

被引:8
|
作者
Huang, Da-Wei [1 ]
Sun, Jui-Ming [1 ,3 ,4 ]
Chen, Yu-Hao [1 ,2 ]
Huang, Kuo-Chang [1 ]
机构
[1] Chia Yi Christian Hosp, Sect Neurosurg, Dept Surg, Chiayi, Taiwan
[2] Chia Yi Christian Hosp, Chung Jen Jr Coll Nursing, Hlth Sci & Management, Chiayi, Taiwan
[3] Triserv Gen Hosp, Natl Def Med Ctr, Dept Neurol Surg, Taipei, Taiwan
[4] Asia Univ, Dept Biotechnol, Taichung, Taiwan
关键词
D O I
10.17712/nsj.2020.4.20200027
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Acute hemiparesis is an extremely rare presentation of spontaneous spinal epidural hematoma, which may be misdiagnosed as acute ischemic stroke and improperly treated with an intravenous thrombolytic agent. Here, we report a case of a 54-year-old woman who presented with acute neck pain and right-sided weakness. She was initially suspected of having ischemic stroke and therefore treated with an intravenous thrombolytic agent. However, she developed progressive tetraparesis, and subsequent magnetic resonance images confirmed cervical spontaneous spinal epidural hematoma.
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页码:316 / 319
页数:4
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