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KMID : 1034720210130010022
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Journal of Neurosonology and Neuroimaging
2021 Volume.13 No. 1 p.22 ~ p.25
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Spontaneous Cervical Epidural Hematoma Mimicking Acute Ischemic Stroke
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Hwang Byoung-Wook
Lee Dong-Kun
Lee Min-A
Lee Chang-Ju
Ahn Seong-Hwan
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Abstract
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In acute reperfusion therapy, the onset to needle time is correlated with the prognosis. Rapid diagnosis is essential to reduce the in-hospital delay. Meanwhile, intravenous thrombolysis requires strict indications and careful decisions to prevent hemorrhagic complications. If patients present with symptoms that mimic stroke, it may not be easy to reveal the underlying critical illness with only restricted assessment in the emergency room. Spontaneous cervical epidural hematoma usually presents with quadriplegia, but it may present with hemiplegia following neck pain, and no cranial abnormalities can easily be misdiagnosed as stroke. We report two cases of spontaneous cervical spinal epidural hematoma, which may be a harmful stroke mimicking intravenous thrombolysis.
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KEYWORD
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Hematoma, epidural, spinal, Hemiplegia, Stroke mimic
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