ArticleBMJ case reports2018
Hemiparesis in spontaneous spinal epidural haematoma: a potential stroke imitator.
Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 20 citations in OpenAlex.
- Case Report: A patient with spontaneous spinal epidural hematoma misdiagnosed as ischemic stroke recovered after delayed surgery.Frontiers in medicine · 2026Article
- Unilateral biportal endoscopic decompression for acute spontaneous spinal epidural hematoma at the cervicothoracic junction: a case report and literature review.Frontiers in surgery · 2026Article
- Article
- Acute Spontaneous Spinal Epidural Hematoma in a Patient on a Direct Oral Anticoagulant (DOAC): A Case Report.Cureus · 2025Article
- Spontaneous spinal epidural hematoma mimicking acute coronary syndrome: A case report and literature review.Surgical neurology international · 2025Article
- Cervical epidural hematoma: a case series highlighting uncommon causes.International journal of emergency medicine · 2024Article
- A man with right-sided weakness.Journal of the American College of Emergency Physicians open · 2024Article
- Spontaneous spinal epidural haematoma following COVID-19 vaccination: a case report.Annals of medicine and surgery (2012) · 2024Article
- Neck pain and absence of cranial nerve symptom are clues of cervical myelopathy mimicking stroke: Two case reports.World journal of clinical cases · 2022Article
- Acute cervical spinal disc prolapse masquerading as stroke, requiring emergency spinal surgery immediately following thrombolysis.Indian journal of anaesthesia · 2021Article
- Spontaneous epidural hematoma of the cervical spine in two patients with sarcoidosis.Surgical neurology international · 2021Article
- Acute hemiparesis. A rare presentation of spontaneous spinal epidural hematoma mimicking acute stroke.Neurosciences (Riyadh, Saudi Arabia) · 2020Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Spontaneous spinal epidural haematoma (SSEH) is a rare condition that requires urgent surgical intervention in order to prevent permanent neurological deficit. SSEH commonly presents as a paraparesis or tetraparesis. SSEH presenting as a hemiparesis is less common and in such situations, it can be mistaken for a cerebrovascular accident (CVA). Thrombolytic or anticoagulant treatment for CVA can potentially worsen the neurological deficit. We report one such case of SSEH misdiagnosed as a CVA. Treatment with tissue plasminogen activator led to worsening of his condition. On a subsequent cervical spine MRI, an epidural haematoma extending from C3 to C5 was detected and treated with laminectomy and evacuation. Surgical intervention led to significant improvement from American Spinal Injury Association Scale (ASIA) B to ASIA E. Presence of clinical features such as Horner's syndrome, Brown-Sequard syndrome and the absence of cranial nerve palsies in acute hemiparesis are indicative of SSEH rather than CVA.
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