Acute spontaneous cervical spinal epidural hematoma with hemiparesis as the initial presentation

被引：38

作者：

Hsieh, Chun-Fu ^{[1
]}

Lin, Hung-Jung ^{[1
]}

Chen, Kuo-Tai ^{[1
]}

Foo, Ning-Ping ^{[1
]}

Te, Antonio Leo ^{[1
]}

机构：

[1] Chi Mei Med Ctr, Dept Emergency Med, Tainan, Taiwan

来源：

EUROPEAN JOURNAL OF EMERGENCY MEDICINE | 2006年 / 13卷 / 01期

关键词：

acute myelopathy; cerebral vascular accident; cervical spine; epidural hematoma; hemiparesis; spinal cord;

D O I：

10.1097/00063110-200602000-00009

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Acute onset of hemiparesis is a common initial presentation of cerebral vascular accidents, but many differential diagnoses should be considered. Hemiparesis results from an upper motor neuron lesion above the midcervical spinal cord, and the absence of cranial nerve signs or facial palsy suggests a lesion in the high cervical spinal cord. Most spinal cord lesions, however, result in quadriparesis or paraparesis, but not hemiparesis. We present a rare case of acute spontaneous cervical spinal epidural hematoma, with initial presentation of right hemiparesis and mild neck pain. (C) 2006 Lippincott Williams & Wilkins.

引用

页码：36 / 38

页数：3

共 14 条

[11] Cervical spinal epidural haematoma: The double jeopardy [J].