Year: 2020
Type: article
Study design: Case Report
Abstract: A 67-year-old man presented with acute right hemiparesis and hemianesthesia (NIH Stroke Scale score 5). Hyperacute neuroimaging was interpreted as normal. Following IV tissue plasminogen activator, his symptoms worsened, with concern for cervical radiculopathy. Upon reviewing the CT angiogram (CTA), a possible spinal epidural hematoma (EDH) was noted and subsequently confirmed with MRI (figure 1) . Cryoprecipitate was administered. His symptoms gradually improved with conservative management. Spontaneous spinal EDH is rare (incidence: 0.1/100,000 per year).1 Risk factors include hypertension and coagulopathy.1 Although cervical spine EDH is best visualized with MRI,2 dedicated attention to the CTA may reveal this uncommon stroke mimic prior to thrombolysis (figure 2) .
Source: Neurology
Institution: University of Minnesota
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W3047007258