Title: Transient hemiparesis caused by spontaneous cervical epidural hematoma
Authors: Lemmens, Robin ×
Ceuppens, Jeroen
Wilms, Guy
Depreitere, Bart #
Issue Date: Sep-2012
Publisher: Acta Medica Belgica
Series Title: Acta Neurologica Belgica vol:112 issue:3 pages:291-293
Article number: 10.1007/s13760-012-0079-0
Abstract: Spontaneous cervical epidural hematoma (SCEH) is rare and can result in various clinical phenotypes. Transient focal neurological symptoms, which have not yet been reported on, can result in overlooking this differential diagnosis in patients presenting with passing neurological deficits and assuming the diagnosis of a transient ischemic attack. Therefore, a thorough documentation of patient history is of importance, since this can reveal symptoms suggestive of a different etiology. Here, we present a case of a 66-year-old female who was admitted with a hemiparesis without cortical or cranial neurological abnormalities. When asked for preceding symptoms like headache or neck ache she mentioned interscapular pain. Imaging of the cervical spine showed an epidural hematoma. Symptoms resolved spontaneously over 24 h without surgical intervention. Our case illustrates the variation in the clinical presentation of SCEH which can result in transient symptoms, even without surgical intervention. Therefore, in patients with transient focal neurological deficits this diagnosis should be included in the differential, particularly when cortical and cranial signs are lacking.
ISSN: 0300-9009
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Translational MRI (+)
× corresponding author
# (joint) last author

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