BRAIN and NERVE Shinkei Kenkyu no Shinpo Volume 69, Issue 2 (February 2017)

Clinical Manifestations of Spinal Epidural Hematoma-Stroke Mimic and Pitfalls in Diagnosis Masaru Kuriyama 1 1Department of Neurology, Brain Attack Center, Ota Memorial Hospital Keyword: 脊髄硬膜外血腫 , 脳卒中様発症 , 片麻痺 , ブラウン-セカール症候群 , ホルネル症候群 , spinal epidural hematoma , stroke mimic , hemiplegia , Brown-Sēquard syndrome , Horner syndrome pp.119-128
Published Date 2017/2/1
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Clinical manifestations of spinal epidural hematoma are presented, and the cases mimicking acute ischemic stroke have been reviewed from the literature. Many reports described the cases of spinal epidural hematoma with acute hemiparesis mimicking ischemic stroke in which intravenous thrombolytic treatment with recombinant tissue plasminogen activator was considered. A correct diagnosis of acute ischemic stroke must be made within 4.5 hours from the onset of symptoms, a relatively short window period. A spinal epidural hematoma is a potentially important stroke mimic in a wide variety of conditions that mimic a stroke. The literature review and discussion will emphasize allowing the distinction between these hemiparetic presentation of spinal epidural hematoma and acute ischemic stroke. A spinal epidural hematoma should be considered in the differential diagnosis of patients with acute onset of hemiparesis when associated with neck pain and signs of Horner's syndrome and Brown-Sēquard syndrome.

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BRAIN and NERVE-神経研究の進歩
69巻2号 (2017年2月)
電子版ISSN 1344-8129 印刷版ISSN 1881-6096 医学書院