TY  - JOUR
AU  - Pavlićević, Goran
AU  - Lepić, Milan
AU  - Lepić, Toplica
AU  - Jaćimović, Nemanja
AU  - Radenović, Ksenija
AU  - Novaković, Nenad
AU  - Rasulić, Lukas
AU  - Mandić-Rajčević, Stefan
PY  - 2019
UR  - http://TechnoRep.tmf.bg.ac.rs/handle/123456789/5882
AB  - Background: A spontaneous cervical epidural hematoma (SCEH) is a rare occurrence, with < 500 cases reported to date. Clinically, it usually presents with quadriparesis, but in extremely rare cases it can present with hemiparesis or hemiplegia, and can easily be misdiagnosed as stroke. The cervical epidural hematoma by itself is an urgent condition that requires a quick and accurate diagnosis and a prompt surgical treatment. Case Report: We present a case where an SCEH mimicked the much more frequent condition of a stroke, and discuss the importance of diagnostics procedures that help differentiate SCEH from acute cerebral infarction. The patient's history of neck pain and spondylosis render this case more challenging. Why Should an Emergency Physician Be Aware of This?: Considering that the emergency tissue plasminogen activator treatment for acute cerebral infarction can worsen the state of an SCEH patient, or even lead to permanent damage or death, it is of great importance to rapidly and accurately differentiate these two conditions.
PB  - Elsevier USA
T2  - Journal of Emergency Medicine
T1  - A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case
EP  - 73
IS  - 1
SP  - 70
VL  - 57
DO  - 10.1016/j.jemermed.2019.03.035
ER  - 

@article{
author = "Pavlićević, Goran and Lepić, Milan and Lepić, Toplica and Jaćimović, Nemanja and Radenović, Ksenija and Novaković, Nenad and Rasulić, Lukas and Mandić-Rajčević, Stefan",
year = "2019",
abstract = "Background: A spontaneous cervical epidural hematoma (SCEH) is a rare occurrence, with < 500 cases reported to date. Clinically, it usually presents with quadriparesis, but in extremely rare cases it can present with hemiparesis or hemiplegia, and can easily be misdiagnosed as stroke. The cervical epidural hematoma by itself is an urgent condition that requires a quick and accurate diagnosis and a prompt surgical treatment. Case Report: We present a case where an SCEH mimicked the much more frequent condition of a stroke, and discuss the importance of diagnostics procedures that help differentiate SCEH from acute cerebral infarction. The patient's history of neck pain and spondylosis render this case more challenging. Why Should an Emergency Physician Be Aware of This?: Considering that the emergency tissue plasminogen activator treatment for acute cerebral infarction can worsen the state of an SCEH patient, or even lead to permanent damage or death, it is of great importance to rapidly and accurately differentiate these two conditions.",
publisher = "Elsevier USA",
journal = "Journal of Emergency Medicine",
title = "A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case",
pages = "73-70",
number = "1",
volume = "57",
doi = "10.1016/j.jemermed.2019.03.035"
}

Pavlićević, G., Lepić, M., Lepić, T., Jaćimović, N., Radenović, K., Novaković, N., Rasulić, L.,& Mandić-Rajčević, S.. (2019). A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case. in Journal of Emergency Medicine
Elsevier USA., 57(1), 70-73.
https://doi.org/10.1016/j.jemermed.2019.03.035

Pavlićević G, Lepić M, Lepić T, Jaćimović N, Radenović K, Novaković N, Rasulić L, Mandić-Rajčević S. A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case. in Journal of Emergency Medicine. 2019;57(1):70-73.
doi:10.1016/j.jemermed.2019.03.035 .

Pavlićević, Goran, Lepić, Milan, Lepić, Toplica, Jaćimović, Nemanja, Radenović, Ksenija, Novaković, Nenad, Rasulić, Lukas, Mandić-Rajčević, Stefan, "A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case" in Journal of Emergency Medicine, 57, no. 1 (2019):70-73,
https://doi.org/10.1016/j.jemermed.2019.03.035 . .

TY  - JOUR
AU  - Lepić, Toplica
AU  - Lepić, Milan
AU  - Mandić-Rajčević, Stefan
PY  - 2019
UR  - http://TechnoRep.tmf.bg.ac.rs/handle/123456789/5914
AB  - Purpose: To investigate with Doppler ultrasonography the maxillary and middle meningeal arteries in the infratemporal fossa, and describe their hemodynamic characteristics. Methods: We included 24 female and 11 male volunteers without vascular diseases, with a median age of 43 years. We used the acoustic window, enlarged by subjects half-opening their mouth, located below the zygomatic arch, in front of temporo-mandibular joint, to reach the maxillary and middle meningeal arteries. Results: In the 35 subjects, 112 arteries were visualized successfully: 60 maxillary (85.7%), and 52 middle meningeal arteries (74.3%), at a depth of 2.40 and 2.50 cm, respectively. Their blood flow was directed anteriorly and away from the probe. While all the measured hemodynamic characteristics differed significantly between the maxillary and the middle meningeal artery (P < 0.001), there was no significant difference between male and female subjects, nor between the left or the right side. Conclusions: The maxillary and middle meningeal arteries can be insonated in the infratemporal fossa through the easily accessible acoustic window below the zygomatic arch, when the patient holds his mouth half open. They can be differentiated by their ultrasonographic characteristics and blood flow features.
PB  - John Wiley and Sons Inc
T2  - Journal of Clinical Ultrasound
T1  - Ultrasonographic assessment of the maxillary artery and middle meningeal artery in the infratemporal fossa
EP  - 411
IS  - 7
SP  - 405
VL  - 47
DO  - 10.1002/jcu.22712
ER  - 

@article{
author = "Lepić, Toplica and Lepić, Milan and Mandić-Rajčević, Stefan",
year = "2019",
abstract = "Purpose: To investigate with Doppler ultrasonography the maxillary and middle meningeal arteries in the infratemporal fossa, and describe their hemodynamic characteristics. Methods: We included 24 female and 11 male volunteers without vascular diseases, with a median age of 43 years. We used the acoustic window, enlarged by subjects half-opening their mouth, located below the zygomatic arch, in front of temporo-mandibular joint, to reach the maxillary and middle meningeal arteries. Results: In the 35 subjects, 112 arteries were visualized successfully: 60 maxillary (85.7%), and 52 middle meningeal arteries (74.3%), at a depth of 2.40 and 2.50 cm, respectively. Their blood flow was directed anteriorly and away from the probe. While all the measured hemodynamic characteristics differed significantly between the maxillary and the middle meningeal artery (P < 0.001), there was no significant difference between male and female subjects, nor between the left or the right side. Conclusions: The maxillary and middle meningeal arteries can be insonated in the infratemporal fossa through the easily accessible acoustic window below the zygomatic arch, when the patient holds his mouth half open. They can be differentiated by their ultrasonographic characteristics and blood flow features.",
publisher = "John Wiley and Sons Inc",
journal = "Journal of Clinical Ultrasound",
title = "Ultrasonographic assessment of the maxillary artery and middle meningeal artery in the infratemporal fossa",
pages = "411-405",
number = "7",
volume = "47",
doi = "10.1002/jcu.22712"
}

Lepić, T., Lepić, M.,& Mandić-Rajčević, S.. (2019). Ultrasonographic assessment of the maxillary artery and middle meningeal artery in the infratemporal fossa. in Journal of Clinical Ultrasound
John Wiley and Sons Inc., 47(7), 405-411.
https://doi.org/10.1002/jcu.22712

Lepić T, Lepić M, Mandić-Rajčević S. Ultrasonographic assessment of the maxillary artery and middle meningeal artery in the infratemporal fossa. in Journal of Clinical Ultrasound. 2019;47(7):405-411.
doi:10.1002/jcu.22712 .

Lepić, Toplica, Lepić, Milan, Mandić-Rajčević, Stefan, "Ultrasonographic assessment of the maxillary artery and middle meningeal artery in the infratemporal fossa" in Journal of Clinical Ultrasound, 47, no. 7 (2019):405-411,
https://doi.org/10.1002/jcu.22712 . .