PT - JOURNAL ARTICLE AU - Huang, Da-Wei AU - Sun, Jui-Ming AU - Chen, Yu-Hao AU - Huang, Kuo-Chang TI - Acute hemiparesis AID - 10.17712/nsj.2020.4.20200027 DP - 2020 Aug 01 TA - Neurosciences Journal PG - 316--319 VI - 25 IP - 4 4099 - http://nsj.org.sa/content/25/4/316.short 4100 - http://nsj.org.sa/content/25/4/316.full SO - Neurosciences (Riyadh)2020 Aug 01; 25 AB - 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.