title: Spontaneous cervical epidural hematoma causing brown-sequard syndrome.
abstract: Spontaneous cervical epidural hematoma (SCEH) is a rare clinical entity and has a varied etiology. Urgent surgical decompression should be done to prevent serious permanent neurologic deficits. We describe a 59-year-old female who presented with Brown-Sequard syndrome due to spontaneous cervical epidural hematoma. Initially, she was misdiagnosed as cerebrovascular accident. Cervical magnetic resonance imaging revealed epidural hematoma to the right of the spinal cord extending from C3 to C6. She later underwent surgical evacuation and had complete restoration of neurologic function. The outcome in SCEH is essentially determined by the time taken from onset of the symptom to operation. Therefore, early and precise diagnosis such as careful history taking and MRI evaluation is mandatory.
authors.affiliation: Department of Neurosurgery, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Byul Hee
authors.initials: BH
authors.lastname: Yoon
authors.affiliation: Department of Neurosurgery, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Ki Seok
authors.initials: KS
authors.lastname: Park
authors.affiliation: Department of Neurosurgery, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Sung Sam
authors.initials: SS
authors.lastname: Jung
authors.affiliation: Department of Neurosurgery, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Mun Sun
authors.initials: MS
authors.lastname: Park
authors.affiliation: Department of Neurosurgery, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Seong-Min
authors.initials: SM
authors.lastname: Kim
authors.affiliation: Department of Neurosurgery, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Seung-Young
authors.initials: SY
authors.lastname: Chung
authors.affiliation: Department of Neurosurgery, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Jong-Chul
authors.initials: JC
authors.lastname: Chung
authors.affiliation: Department of Neurosurgery, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Han-Kyu
authors.initials: HK
authors.lastname: Kim
keywords: Brown-Sequard syndrome; Spontaneous cervical epidural hematoma; Surgical decompression