Ischemic stroke differential diagnose: spontaneous spinal epidural hematoma can be fatal

Büyükgöl, Hüseyin; Ilık, Mustafa Kemal; İlik, Faik

doi:10.1016/j.ajem.2015.01.018

Cited by 6 publications

(7 citation statements)

References 8 publications

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“…1-A and 1-B), which led to the early diagnosis of SCEH. As for differentiating between SSEH and cerebrovascular disease, many studies have concluded that SSEH sometimes pre-sents as hemiparesis in the initial state 14,15 . This view is highly consistent with both the present case and the literature review (cases 2 and 3).…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Cervical Epidural Hematoma Presenting with Respiratory Failure

Ohno,

Fujishiro,

Hayama

et al. 2023

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Case: A 62-year-old woman who had an unremarkable medical history presented with sudden headache and neck pain. After the presentation, complete quadriplegia and respiratory arrest developed, and the patient was urgently intubated. Magnetic resonance imaging revealed an extensive epidural hematoma (EH), and emergency hematoma evacuation was performed. At the 1-year follow-up visit, the patient had no motor deficits. Conclusion: We reported a case of spontaneous cervical EH presenting with respiratory failure that was successfully treated with surgical management. Literature review has shown that the surgical outcome is very poor; nevertheless, prompt surgical decompression of the spinal cord can minimize neurological sequelae.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Cervical Epidural Hematoma Presenting with Respiratory Failure

Ohno,

Fujishiro,

Hayama

et al. 2023

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“…Due to the limited time, some of them received corresponding treatments, including intravenous thrombolysis, argatroban hydrate, aspirin, and heparin[ 19 , 24 , 29 - 32 , 35 , 43 , 47 , 49 ]. There were also some patients who were identified by cervical CT or MRI, and underwent surgery or conservative treatment in time[ 12 , 15 , 21 , 26 - 28 , 33 , 36 , 37 , 39 , 41 , 42 , 44 , 45 , 51 , 52 ]. Most patients with timely correction of diagnosis and treatment still have good outcomes.…”

Section: Discussionmentioning

confidence: 99%

Neck pain and absence of cranial nerve symptom are clues of cervical myelopathy mimicking stroke: Two case reports

Zhou¹,

Zhu²,

Fang³

et al. 2022

World J Clin Cases

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BACKGROUND Cervical myelopathy is a potential stroke imitator, for which intravenous thrombolysis would be catastrophic. CASE SUMMARY We herein present two cases of cervical myelopathy. The first patient presented with acute onset of right hemiparesis and urinary incontinence, and the second patient presented with sudden-onset right leg monoplegia. The initial diagnoses for both of them were ischemic stroke. However, both of them lacked cranial nerve symptom and suffered neck pain at the beginning of onset. Their cervical spinal cord lesions were finally confirmed by cervical computed tomography. A literature review showed that neck pain and absence of cranial nerve symptom are clues of cervical myelopathy. CONCLUSION The current report and the review remind us to pay more attention to these two clues in suspected stroke patients, especially those within the thrombolytic time window.

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“…In some case reports, the symptoms of limb weakness might be mistaken for acute stroke. 8,9 However, treatment for stroke with thrombolytic or antiplatelet agents may cause expansion of hematoma and deterioration of clinical symptoms. Spinal MRI is the imaging of choice for diagnosis.…”

Section: Discussionmentioning

confidence: 99%