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Open Access

Acute hemiparesis

A rare presentation of spontaneous spinal epidural hematoma mimicking acute stroke

Da-Wei Huang, Jui-Ming Sun, Yu-Hao Chen and Kuo-Chang Huang
Neurosciences Journal August 2020, 25 (4) 316-319; DOI: https://doi.org/10.17712/nsj.2020.4.20200027
Da-Wei Huang
Section of Neurosurgery (Huang, Sun, Chen, Huang), Department of Surgery; from the Chung-Jen Junior College of Nursing, Health Sciences and Management (Chen), Chia-Yi Christian Hospital, Chia-Yi; from the Department of Neurological Surgery (Sun), Tri-Service General Hospital, National Defense Medical Center, Taipei; and from the Department of Biotechnology (Sun), Asia University, Taichung, Taiwan.
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Jui-Ming Sun
Section of Neurosurgery (Huang, Sun, Chen, Huang), Department of Surgery; from the Chung-Jen Junior College of Nursing, Health Sciences and Management (Chen), Chia-Yi Christian Hospital, Chia-Yi; from the Department of Neurological Surgery (Sun), Tri-Service General Hospital, National Defense Medical Center, Taipei; and from the Department of Biotechnology (Sun), Asia University, Taichung, Taiwan.
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Yu-Hao Chen
Section of Neurosurgery (Huang, Sun, Chen, Huang), Department of Surgery; from the Chung-Jen Junior College of Nursing, Health Sciences and Management (Chen), Chia-Yi Christian Hospital, Chia-Yi; from the Department of Neurological Surgery (Sun), Tri-Service General Hospital, National Defense Medical Center, Taipei; and from the Department of Biotechnology (Sun), Asia University, Taichung, Taiwan.
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Kuo-Chang Huang
Section of Neurosurgery (Huang, Sun, Chen, Huang), Department of Surgery; from the Chung-Jen Junior College of Nursing, Health Sciences and Management (Chen), Chia-Yi Christian Hospital, Chia-Yi; from the Department of Neurological Surgery (Sun), Tri-Service General Hospital, National Defense Medical Center, Taipei; and from the Department of Biotechnology (Sun), Asia University, Taichung, Taiwan.
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Abstract

Acute hemiparesis is an extremely rare presentation of spontaneous spinal epidural hematoma, which may be misdiagnosed as acute ischemic stroke and improperly treated with an intravenous thrombolytic agent. Here, we report a case of a 54-year-old woman who presented with acute neck pain and right-sided weakness. She was initially suspected of having ischemic stroke and therefore treated with an intravenous thrombolytic agent. However, she developed progressive tetraparesis, and subsequent magnetic resonance images confirmed cervical spontaneous spinal epidural hematoma.

Footnotes

  • Disclosure. The all authors certify that they have NO affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

  • Received March 2, 2020.
  • Accepted June 14, 2020.
  • Copyright: © Neurosciences

Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work.

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Neurosciences Journal: 25 (4)
Neurosciences Journal
Vol. 25, Issue 4
1 Aug 2020
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Acute hemiparesis
Da-Wei Huang, Jui-Ming Sun, Yu-Hao Chen, Kuo-Chang Huang
Neurosciences Journal Aug 2020, 25 (4) 316-319; DOI: 10.17712/nsj.2020.4.20200027

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Acute hemiparesis
Da-Wei Huang, Jui-Ming Sun, Yu-Hao Chen, Kuo-Chang Huang
Neurosciences Journal Aug 2020, 25 (4) 316-319; DOI: 10.17712/nsj.2020.4.20200027
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© 2025 Neurosciences Journal Neurosciences is copyright under the Berne Convention and the International Copyright Convention. All rights reserved. Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3183. Print ISSN 1319-6138.

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