Spontaneous Cervical Epidural Hematoma Causing Brown-Sequard Syndrome.
10.14245/kjs.2012.9.3.297
- Author:
Byul Hee YOON
1
;
Ki Seok PARK
;
Sung Sam JUNG
;
Mun Sun PARK
;
Seong Min KIM
;
Seung Young CHUNG
;
Jong Chul CHUNG
;
Han Kyu KIM
Author Information
1. Department of Neurosurgery, Eulji University College of Medicine, Daejeon, Korea. ks3432@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
Spontaneous cervical epidural hematoma;
Brown-Sequard syndrome;
Surgical decompression
- MeSH:
Brown-Sequard Syndrome;
Decompression, Surgical;
Female;
Hematoma;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Neurologic Manifestations;
Spinal Cord;
Stroke
- From:Korean Journal of Spine
2012;9(3):297-299
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spontaneous cervical epidural hematoma (SCEH) is a rare clinical entity and has a varied etiology. Urgent surgical decompression should be done to prevent serious permanent neurologic deficits. We describe a 59-year-old female who presented with Brown-Sequard syndrome due to spontaneous cervical epidural hematoma. Initially, she was misdiagnosed as cerebrovascular accident. Cervical magnetic resonance imaging revealed epidural hematoma to the right of the spinal cord extending from C3 to C6. She later underwent surgical evacuation and had complete restoration of neurologic function. The outcome in SCEH is essentially determined by the time taken from onset of the symptom to operation. Therefore, early and precise diagnosis such as careful history taking and MRI evaluation is mandatory.
