Spontaneous cervical epidural hematoma (SCEH) is a rare condition that causes paraparesis or
quadriparesis. As spontaneous resolution is seldom expected, it usually requires surgical treatment
for relieve symptoms. Even if spontaneous resolution occurs, relief from symptoms usually requires
several hours to days. In contrast, hemiparesis is the most common symptom of a transient ischemic
attack (TIA), and usually resolves over minutes to hours. We report here two patients with SCEH
who presented with hemiparesis with severe neck pain. Both patients were taking antiplatelet drugs.
Their neurological symptoms recovered spontaneously over a very short time. They were initially
misdiagnosed as TIA. These cases show that patients with transient hemiparesis may have SCEH if
there is severe neck pain and no cranial nerve involvement.
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