A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case
Samo za registrovane korisnike
2019
Autori
Pavlićević, GoranLepić, Milan
Lepić, Toplica
Jaćimović, Nemanja
Radenović, Ksenija
Novaković, Nenad
Rasulić, Lukas
Mandić-Rajčević, Stefan
Članak u časopisu (Objavljena verzija)
Metapodaci
Prikaz svih podataka o dokumentuApstrakt
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 rapidl...y and accurately differentiate these two conditions.
Ključne reči:
hemiparesis / spontaneous cervical epidural hematoma / strokeIzvor:
Journal of Emergency Medicine, 2019, 57, 1, 70-73Izdavač:
- Elsevier USA
Finansiranje / projekti:
- Uticaj rudarskog otpada iz RTB-a Bor na zagađenje vodotokova sa predlogom mera i postupaka za smanjenje štetnog dejstva na životnu sredinu (RS-MESTD-Technological Development (TD or TR)-37001)
DOI: 10.1016/j.jemermed.2019.03.035
ISSN: 0736-4679
WoS: 000475738200021
Scopus: 2-s2.0-85064916916
Institucija/grupa
Inovacioni centarTY - 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 . .