Cervical haematoma; magnetic resonance imaging; paraparesis
Abstract :
[en] ("[en] We report the case of an 86-year-old female patient with chronic neck pain who presented with an initial misleading clinical picture suggesting an ischaemic stroke. No recent or previous anticoagulation treatment or fall history was reported. The patient developed a paraplegia of the upper limbs needing magnetic resonance imaging which revealed a compressive cervical haematoma. The patient benefitted from cervical laminectomy and evacuation of the cervical haematoma. Motricity in upper extremities was recovered but paresis in the lower extremities persisted 1 week after surgical intervention.
LEARNING POINTS: Insidious spontaneous cervical haematoma can mimic ischaemic stroke.Early recognition and treatment of cervical haematoma can improve prognosis.","[en] ","")
Disciplines :
Human health sciences: Multidisciplinary, general & others
Author, co-author :
Ali, Deeba; Service des Urgences, CHC MontLégia, Liège, Belgium
Görür, Yilmaz ; Centre Hospitalier Universitaire de Liège - CHU > > Service médical de radiodiagnostic ; Service de Radiologie, Clinique André Renard, Herstal, Belgium
Cardos, Benoît ; Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences
Masabarakiza, Jean Bosco; Service des Urgences, CHU Sart-Tilman, Liège, Belgium
Stilmant, Anne-Christine; Service des Urgences, CHC MontLégia, Liège, Belgium
Yerna, Michèle ; Université de Liège - ULiège ; Service des Urgences, CHC MontLégia, Liège, Belgium
Lorenzo-Villalba, Noel; Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, France
Language :
English
Title :
Spinal Cord Compression Secondary to a Spontaneous Cervical Epidural Haematoma.
Publication date :
2022
Journal title :
European Journal of Case Reports in Internal Medicine
Muñoz González A, Cuello JP, Rodríguez Cruz PM, Iglesias Mohedano AM, Domínguez Rubio R, Romero Delgado F, et al. Hematoma espinal epidural espontáneo: estudio retrospectivo de una serie de 13 casos. Neurología 2015;30:393–400.
Taniguchi LU, Pahl FH, Lucio JE, Brock RS, Gomes MQ, Adoni T, et al. Complete motor recovery after acute paraparesis caused by spontaneous spinal epidural hematoma: case report. BMC Emerg Med 2011;11:10.
Tremolizzo L, Patassini M, Malpieri M, Ferrarese C, Appollonio I. A case of spinal epidural haematoma during breath hold diving. Diving Hyperb Med 2012;42:98–100.
Gutowski P, Meier U, Rohde V, Lemcke J, von der Brelie C. Clinical outcome of epidural hematoma treated surgically in the era of modern resuscitation and trauma care. World Neurosurg 2018;118:e166–e174.
Diallo M, Cheikh NSE, Perrin G. Hématome épidural cervical non traumatique/Non traumatic epidural cervical hematoma. Rev Int Sc Med 2017;19:231–234.