文献类型：期刊文献

英文题名：Spontaneous cervical epidural haematoma mimicking stroke: a case report and literature review

作者：Lv, Tian[1];Bao, Yaya[2];Lou, Jingjing[1];Gu, Dadong[1]

机构：[1]Shaoxing Univ, Zhuji Hosp, Shaoxing, Peoples R China;[2]Shaoxing Univ, Med Coll, Shaoxing, Peoples R China

年份：2022

卷号：60

期号：2

起止页码：261

外文期刊名：FOLIA NEUROPATHOLOGICA

收录：SCI-EXPANDED(收录号：WOS:000876121100001)、、Scopus(收录号：2-s2.0-85135025514)、WOS

语种：英文

外文关键词：spontaneous spinal epidural haematoma; stroke; CT; Lhermitte's sign

外文摘要：Spontaneous spinal epidural haematoma (SSEH) is a rare disease that requires emergency decompression or haematoma evacuation to prevent permanent neurological deficits. Hemiparesis is an extremely rare presentation of SSEH, commonly misdiagnosed as stroke. With the help of case studies and references, this paper comprehensively discusses the effective methods to distinguish SSEH from stroke and provides theoretical support and ideas for rapid and accurate identification of SSEH. Herein, we report on the case of a 51-year-old man with SSEH who presented with acute hemiparesis and posterior neck pain. Cervical computed tomography (CT) revealed cervical degeneration. A carotid CT angiogram revealed a high-density mass in the C2-C5 right posterolateral epidural region. Cervical spine magnetic resonance imaging showed SSEH. The patient was conservatively treated and discharged following a full recovery. Rapid identification of SSEH continues to present a great challenge for neurologists. A soft tissue CT scan can be used to quickly and accurately identify SSEH; however, in the absence of cranial signs, Brown-Sequard syndrome, Lhermitte's sign and Horner syndrome should be used to differentiate SSEH from stroke.