title: [Clinical manifestations of 16 patients with spontaneous spinal epidural hematoma -stroke mimic and pitfalls for diagnosis].
abstract: Clinical manifestations of 16 patients with spontaneous spinal epidural hematoma were presented. We examined the point similar to that of stroke. During the initial visit of our hospital, the patients showed the hemiplegia in 10 cases (62.5%), Horner syndrome in 4 cases (25%), the painless onset in 1 case (6.3%). And one case showed the impairment of consciousness due to vagal reflex in severe pain onset, which was similar to those of subarachnoid hemorrhage. MRI images are useful to confirm the diagnosis. The frequent site of hematoma was the lower cervical spinal cord. The oval shaped hematomas shifted to the left or right in spinal canals, compressed spinal cords in axial image, which was a cause of hemiplegia. Many cases developed during active periods, and the hemorrhage might be relevant to oral antithrombotic agent, C hepatitis, and chronic renal failure. Rapidly progressive cases were indications for emergency surgery, but conservative therapy is also possible and was better prognosis.
authors.affiliation: Department of Neurology, Brain Attack Center, Ota Memorial Hospital.
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Hara
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Otonari
authors.forename: Nobuharu
authors.initials: N
authors.lastname: Nishihara
authors.forename: Taisei
authors.initials: T
authors.lastname: Ota
authors.forename: Masaru
authors.initials: M
authors.lastname: Kuriyama
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D005343:Fibrinolytic Agents; D046748:Hematoma, Epidural, Spinal / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D006526:Hepatitis C; D006801:Humans; D007676:Kidney Failure, Chronic; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000209:etiology; D011379:Prognosis; D012307:Risk Factors; D020521:Stroke / Q000175:diagnosis*
chemical_list: D005343:Fibrinolytic Agents