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J Korean Soc Emerg Med > Volume 25(2); 2014 > Article
Journal of The Korean Society of Emergency Medicine 2014;25(2): 206-209.
A Case of Spontaneous Spinal Epidural Hematoma Misidentified as a Middle Cerebral Artery Infarction
Chan Young Koh
Department of Emergency Medicine, College of Medicine, Dankook University, Korea. suepunk@naver.com
ABSTRACT
Spontaneous spinal epidural hematoma (SSEH) is an uncommon cause of spinal cord compression. Early diagnosis and appropriate management are important, however, diagnosis is often difficult due to variable neurologic deficit. We report on the case of a 69-year-old female patient in right hemiparesis. She was treated with thrombolysis therapy for acute cerebral infarction before being transferred to our hospital. Findings on a cervical spine magnetic resonance image showed spinal epidural hematoma and cord compression. She was prepared to undergo decompressive surgery, however, neurologic deficits began to show improvement. She was managed conservatively and was discharged without deficits approximately nine days after onset.
Key words: Spontaneous spinal epidural hematoma, Middle cerebral artery infarction, Thrombolytics, Hemiparesis
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