title: Acute spontaneous cervical spinal epidural hematoma with hemiparesis as the initial presentation.
abstract: 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.
authors.affiliation: Department of Emergency Medicine, Chi Mei Medical Center, Tainan, Taiwan.
authors.forename: Chun-Fu
authors.initials: CF
authors.lastname: Hsieh
authors.forename: Hung-Jung
authors.initials: HJ
authors.lastname: Lin
authors.forename: Kuo-Tai
authors.initials: KT
authors.lastname: Chen
authors.forename: Ning-Ping
authors.initials: NP
authors.lastname: Foo
authors.forename: Antonio Leo
authors.initials: AL
authors.lastname: Te
mesh_terms: 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*