Acute spontaneous cervical spinal epidural hematoma with hemiparesis as the initial presentation.
Acute onset of hemiparesis is a common initial presentation of cerebral vascular accidents, but many differential diagnoses should be considered. Hemiparesis results from an upper motor neuron lesion above the midcervical spinal cord, and the absence of cranial nerve signs or facial palsy suggests a lesion in the high cervical spinal cord. Most spinal cord lesions, however, result in quadriparesis or paraparesis, but not hemiparesis. We present a rare case of acute spontaneous cervical spinal epidural hematoma, with initial presentation of right hemiparesis and mild neck pain.
Hsieh
Chun-Fu
CF
Department of Emergency Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Lin
Hung-Jung
HJ
Chen
Kuo-Tai
KT
Foo
Ning-Ping
NP
Te
Antonio Leo
AL
D000208:Acute Disease; D000368:Aged; D002574:Cervical Vertebrae; D046748:Hematoma, Epidural, Spinal / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010291:Paresis / Q000209:etiology*