Open Journal of Modern Neurosurgery

Volume 3, Issue 4 (October 2013)

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

Google-based Impact Factor: 0.41  Citations  

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

HTML  XML Download Download as PDF (Size: 2719KB)  PP. 59-62  
DOI: 10.4236/ojmn.2013.34013    4,678 Downloads   7,572 Views  Citations

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.

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
Folia Neuropathologica, 2022
[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
脳卒中, 2022
[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
2019
[6] Hemiparesis in spontaneous spinal epidural haematoma: a potential stroke imitator
BMJ case reports, 2018
[7] Worsening Cervical Epidural Hematoma After Tissue Plasminogen Activator Administration for Stroke Like Symptoms
Spine, 2016

Journals Menu
Follow SCIRP
Contact us
customer@scirp.org
WhatsApp +86 18163351462(WhatsApp)
Click here to send a message to me 1655362766
Paper Publishing WeChat

Copyright © 2025 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.