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Cervical Spine Epidural Hematoma Disguised as Acute Ischemic Stroke: A Case Report
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Á¶¼®Áø(Cho Suk-Jin) - ÀÎÁ¦´ëÇб³ »ó°è¹éº´¿ø ÀÀ±ÞÀÇÇаú
Ãֽ¿î(Choi Seung-Woon) - ÀÎÁ¦´ëÇб³ »ó°è¹éº´¿ø ÀÀ±ÞÀÇÇаú
°Å°æ(Kang Tae-Kyung) - ÀÎÁ¦´ëÇб³ »ó°è¹éº´¿ø ÀÀ±ÞÀÇÇаú
±èÇýÁø(Kim Hye-Jin) - ÀÎÁ¦´ëÇб³ »ó°è¹éº´¿ø ÀÀ±ÞÀÇÇаú
¿À¼ºÂù(Oh Sung-Chan) - ÀÎÁ¦´ëÇб³ »ó°è¹éº´¿ø ÀÀ±ÞÀÇÇаú
·ù¼®¿ë(Ryu Seok-Yong) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ »ó°è¹éº´¿ø ÀÀ±ÞÀÇÇаú
Abstract
Cervical spine epidural hematoma is a rare disease, which can sometimes be misdiagnosed as acute ischemic stroke when a patient shows hemiparesis. A 68-year-old woman visited the emergency department with right side motor weakness without signs of facial palsy or cranial nerve deficit. She also complained of accompanying neck pain. Acute ischemic stroke was suspected initially and a non-contrast computed tomography of the brain was taken, which showed no cerebral hemorrhage. Brain and cervical spine magnetic resonance imaging (MRI) was performed for further evaluation. No evidence of cerebral infarction. However, an epidural hematoma was detected on cervical spine MRI. The patient was consulted to the neurosurgery department and decompressive laminectomy and hematoma evacuation was performed. Emergency physicians should consider cervical spine epidural hematoma in cases of sudden onset hemiparesis with accompanying neck pain.
Å°¿öµå
Spinal epidural hematoma, Magnetic resonance Imaging, Cerebrovascular disorders
KMID :
0385920140250030340
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