RT Journal Article SR Electronic T1 Acute hemiparesis JF Neurosciences Journal JO Neurosciences (Riyadh) FD Prince Sultan Military Medical City SP 316 OP 319 DO 10.17712/nsj.2020.4.20200027 VO 25 IS 4 A1 Huang, Da-Wei A1 Sun, Jui-Ming A1 Chen, Yu-Hao A1 Huang, Kuo-Chang YR 2020 UL http://nsj.org.sa/content/25/4/316.abstract 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.