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Updated: May 30, 2026
09:14
Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
Published on: June 18, 2021
Cervical spinal epidural hematoma mimics acute ischemic stroke
Kuang-Chung Liou1, Lu-An Chen, Ya-Ju Lin
1Department of Neurology, Mackay Memorial Hospital, Zhongshan Dist., Taipei 10449, Taiwan.
The American Journal of Emergency Medicine
|August 16, 2011
Summary
Spinal epidural hematoma, a rare condition causing spinal cord compression, can mimic stroke symptoms. Early diagnosis via MRI and prompt surgery are crucial for favorable outcomes in patients presenting with sudden pain and limb weakness.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Spinal epidural hematoma (SEH) is a rare condition involving blood accumulation in the epidural space, potentially compressing the spinal cord.
- Spontaneous SEH is uncommon, often presenting with acute, severe pain and significant neurological deficits like paraparesis or quadriparesis.
Observation:
- This report details two cases of cervical SEH presenting with sudden neck pain, unilateral limb weakness, and respiratory distress.
- Initial clinical suspicion in these cases was acute ischemic stroke, with consideration for recombinant tissue plasminogen activator (rt-PA) therapy.
Findings:
- Magnetic resonance imaging (MRI) confirmed cervical spinal epidural hematoma in both patients.
- The presentation mimicked acute stroke, highlighting diagnostic challenges, especially in cases without cranial nerve deficits.
Implications:
- Accurate and timely diagnosis of SEH is critical, distinguishing it from acute stroke to ensure appropriate management.
- Clinical suspicion and advanced imaging like MRI are vital for identifying SEH and preventing delayed treatment.
- Prompt surgical intervention in SEH is essential for improving clinical outcomes and neurological recovery.
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