title: Spontaneous spinal epidural hematoma causing Brown-Sequard syndrome: case report and review of the literature.
abstract: Spinal epidural hematoma is a rare clinical entity and has a varied etiology. Urgent surgical evacuation to prevent serious permanent neurologic deficits is generally indicated. We describe a case of a 52-year-old man, on oral anticoagulant therapy, who presented with Brown-Sequard syndrome due to spontaneous spinal epidural hematoma at the cervicothoracic junction. This diagnosis was initially overlooked, given the asymmetric pattern of deficit. He later underwent cervical laminectomy and had complete restoration of neurologic function.
authors.affiliation: Department of Spinal Surgery, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Salman
authors.initials: S
authors.lastname: Riaz
authors.forename: Harry
authors.initials: H
authors.lastname: Jiang
authors.forename: Richard
authors.initials: R
authors.lastname: Fox
authors.forename: Michel
authors.initials: M
authors.lastname: Lavoie
authors.forename: James K
authors.initials: JK
authors.lastname: Mahood
mesh_terms: D018437:Brown-Sequard Syndrome / Q000175:diagnosis / Q000209:etiology*; D046748:Hematoma, Epidural, Spinal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged