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A Case of Spontaneous Spinal Epidural Hematoma Mimicking Stroke [Turk J Neurol]
Turk J Neurol. 2014; 20(3): 95-97 | DOI: 10.4274/tnd.54036  

A Case of Spontaneous Spinal Epidural Hematoma Mimicking Stroke

Emine Rabia Koç1, Burcu Acar2, Zübeyde Aytürk2, Duran Berker Cemil3, Dilek Kösehan4, Atilla İlhan2
1Balıkesir University School of Medicine Department of Neurology, Balıkesir, Turkey
2Turgut Ozal University School of Medicine Department of Neurology, Ankara, Turkey
3Turgut Ozal University School of Medicine Department of Neurosurgery, Ankara, Turkey
4Turgut Ozal University School of Medicine Department of Radiology, Ankara, Turkey

Spontaneous spinal epidural hematoma is an uncommon cause of acute non-traumatic myelopathy and may present with various clinical phenotypes. Focal neurological symptoms can result in overlooking this differential diagnosis in patients presenting with neurological deficits and assuming the diagnosis of a stroke. Therefore, a thorough documentation of patient history is of great importance, since this can reveal symptoms suggestive of a different etiology. Here, we present a case of an 80-year-old female who was admitted with a hemiparesis without cortical or cranial neurological abnormalities. She mentioned of preceding shoulder and neck pain. Diagnosis of epidural hematoma was made by cervical magnetic resonance imaging. Symptoms resolved partially after surgical intervention. Our case illustrates the variation in the clinical presentation of spontaneous spinal epidural hematoma which can be misdiagnosed as stroke. Therefore, in patients with preceding neck, shoulder or interscapular pain and focal neurological deficits, this diagnosis should be included in the differential, particularly when cortical and cranial signs are lacking.

Keywords: Spontaneous spinal epidural hematoma, stroke, neck pain, Lhermitte’s sign


Emine Rabia Koç, Burcu Acar, Zübeyde Aytürk, Duran Berker Cemil, Dilek Kösehan, Atilla İlhan. A Case of Spontaneous Spinal Epidural Hematoma Mimicking Stroke. Turk J Neurol. 2014; 20(3): 95-97

Corresponding Author: Emine Rabia Koç, Türkiye


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