title: Spontaneous cervical epidural hematoma presenting as brown-sequard syndrome following repetitive korean traditional deep bows.
abstract: Spontaneous cervical epidural hematoma (SCEH) is an uncommon cause of acute nontraumatic myelopathy. SCEH presenting as Brown-Sequard syndrome is extremely rare. A 65-year-old man had motor weakness in the left extremities right after his mother's funeral. He received thrombolytic therapy under the impression of acute cerebral infarction at a local hospital. However, motor weakness of the left extremities became aggravated without mental change. After being transferred to our hospital, he showed motor weakness in the left extremities with diminished pain sensation in the right extremities. Diagnosis of SCEH was made by cervical magnetic resonance imaging. He underwent left C3 to C5 hemilaminectomy with hematoma removal. It is important for physicians to be aware that SCEH can be considered as one of the differential diagnoses of hemiplegia, since early diagnosis and management can influence the neurological outcome. We think that increased venous pressure owing to repetitive Korean traditional deep bows may be the cause of SCEH in this case.
authors.affiliation: Department of Physical and Rehabilitation Medicine, Research Institute of Medical Sciences, Center for Aging and Geriatrics, Regional Cardiocerebrovascular Center, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
authors.forename: Hyo-Jeong
authors.initials: HJ
authors.lastname: Seon
authors.forename: Min-Keun
authors.initials: MK
authors.lastname: Song
authors.forename: Jae-Young
authors.initials: JY
authors.lastname: Han
authors.forename: In-Sung
authors.initials: IS
authors.lastname: Choi
authors.forename: Sam-Gyu
authors.initials: SG
authors.lastname: Lee
keywords: Brown-Sequard syndrome; Hemiplegia; Spinal cervical epidural hematoma