Spontaneous spinal epidural hematoma with hemiparesis mimicking acute cerebral infarction: two case reports.

@article{Matsumoto2012SpontaneousSE,
  title={Spontaneous spinal epidural hematoma with hemiparesis mimicking acute cerebral infarction: two case reports.},
  author={Hiroaki Matsumoto and Takanori Miki and Yuki Miyaji and Hiroaki Minami and Atsushi Masuda and Shogo Tominaga and Yasuhisa Yoshida and Ikuya Yamaura and Shigeo Matsumoto and Shigeatsu Natsume and Kozo Yoshida},
  journal={The journal of spinal cord medicine},
  year={2012},
  volume={35 4},
  pages={262-6}
}
CONTEXT Acute hemiparesis is a common initial presentation of ischemic stroke. Although hemiparesis due to spontaneous spinal epidural hematoma (SSEH) is an uncommon symptom, a few cases have been reported and misdiagnosed as cerebral infarction. DESIGN Case reports of SSEH with acute hemiparesis. FINDINGS In these two cases, acute stroke was suspected initially and administration of intravenous alteplase therapy was considered. In one case, the presentation was neck pain and in the other… CONTINUE READING