Spontaneous Cervical Epidural Hematoma Mimicking Stroke: A New Perspective on Diagnosis and Treatment - Open Journal of Modern Neurosurgery

OJMN > Vol.3 No.4, October 2013

Open Journal of Modern Neurosurgery

Volume 3, Issue 4 (October 2013)

ISSN Print: 2163-0569 ISSN Online: 2163-0585

Google-based Impact Factor: 0.31 Citations

Spontaneous Cervical Epidural Hematoma Mimicking Stroke: A New Perspective on Diagnosis and Treatment ()

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Download as PDF (Size: 2719KB) PP. 59-62

DOI: 10.4236/ojmn.2013.34013 4,543 Downloads 7,760 Views Citations

Author(s)

Alp Yurter, Paul E. Kaloostian

Affiliation(s)

Johns Hopkins University Medical Center, Baltimore, USA.

ABSTRACT

Objective: The authors report an extremely rare case of stroke-mimicking, spontaneous cervical epidural hematoma treated with tissue plasminogen activator (TPA). Case Report: We report the case of a 69-year-old female presenting with left-sided hemiparesis of the arm and leg. She was administered by TPA because she was thought to have an ischemic stroke and intracranial CT showed no hemorrhage. However, her neurological condition continued to decline, and MRI of her cervical spine revealed a large spontaneous epidural hematoma. Subsequently, the patient underwent emergency surgery. Conclusions: TPA administration to spinal epidural hematoma (SEH) patients is dangerous. Because cervical epidural hematomas can mimic stroke, the attending medical staff needs to exercise vigilance in diagnosis. In addition to the head, the spine should also be scanned prior to TPA administration.

KEYWORDS

Tissue Plasminogen Activator (TPA); Stroke Mimic; Spontaneous Spinal Epidural Hematoma; Cervical

Share and Cite:

A. Yurter and P. E. Kaloostian, "Spontaneous Cervical Epidural Hematoma Mimicking Stroke: A New Perspective on Diagnosis and Treatment," Open Journal of Modern Neurosurgery, Vol. 3 No. 4, 2013, pp. 59-62. doi: 10.4236/ojmn.2013.34013.

Cited by

[1]	Spontaneous spinal epidural hematoma mimicking stroke and its outcome post intravenous thrombolysis
	Cerebrovascular Diseases, 2022

[2]	Spontaneous cervical epidural haematoma mimicking stroke: a case report and literature review
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[3]	急性期脳梗塞と診断し rt-PA 投与後に脊髄硬膜外血腫が判明し手術加療を要した 1 例
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[4]	Spontaneous Cervical Epidural Hematoma Treated with rt-PA: A Pitfall in Stroke Practice
	2021

[5]	Thrombolysis for atlantoaxial dislocation mimicking acute ischemic stroke: Case report and review
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[6]	Hemiparesis in spontaneous spinal epidural haematoma: a potential stroke imitator
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[7]	Worsening Cervical Epidural Hematoma After Tissue Plasminogen Activator Administration for Stroke Like Symptoms
	Spine, 2016

[8]	A case of cervical epidural hematoma with symptom aggravation after improper anticoagulant therapy

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