Acute spontaneous cervical epidural hematoma mimicking cerebral stroke: a case report and literature review.
Spontaneous cervical epidural hematoma (SCEDH) is a rare disease, but can cause severe neurologic impairment. We report a case of a 68-year-old female who presented with sudden onset, posterior neck pain, right shoulder pain, and progressive right hemiparesis mimicking stroke with no trauma history. Initial brain CT and diffusion MRI performed to rule out brain lesion did not show any positive findings. Laboratory examination presented only severe thrombocytopenia (45,000/mm(3)). Subsequent cervical MRI revealed a cervical epidural mass lesion. We confirmed that it was pure hematoma through C5 unilateral total laminectomy and C6 partial hemilaminectomy. She achieved complete neurologic recovery with active rehabilitation. Early surgical decompression for SCEDH with neurologic impairment should be recommended for better outcome.
Department of Neurosurgery, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Jin Kyu
JK
Kim
Department of Neurosurgery, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Tae Hong
TH
Kim
Department of Neurosurgery, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Sang Keun
SK
Park
Department of Neurosurgery, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Yong Soon
YS
Hwang
Department of Neurosurgery, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Hyung Shik
HS
Shin
Department of Neurosurgery, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Jun Jae
JJ
Shin
Liver cirrhosis; Spontaneous cervical epidural hematoma (SCEDH); Stroke