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A rare case of spontaneous spinal epidural hematoma in a 43-year-old man.
J Am Coll Emerg Physicians Open. 2021 Aug; 2(4):e12532.JA

Abstract

Spontaneous spinal epidural hematoma is a rare neurosurgical condition that is often difficult to diagnose in the emergency department and can cause permanent neurological deficits if diagnosis is delayed or incorrect. We present the case of a 43-year-old man who was initially investigated for cardiac events, suspected posterior circulation stroke, or arterial dissection. All investigations were normal, which led us to perform magnetic resonance imaging of the brain, neck, and cervicothoracic spine, which revealed spontaneous spinal epidural hematoma. Publication of this case raises awareness of this rare neurosurgical emergency and the importance of differential diagnosis to avoid misdiagnosis in patients presenting with sudden-onset cervicothoracic back pain radiating to the upper limbs bilaterally with neurological deficit and a history of discectomy or receiving anticoagulants. Our study highlights the importance of early discussions with the consultant and specialty involvement in such cases.

Authors+Show Affiliations

Department of Emergency Medicine Beaumont Hospital Dublin Ireland.Department of Emergency Medicine Beaumont Hospital Dublin Ireland.Department of Emergency Medicine Beaumont Hospital Dublin Ireland.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

34401868

Citation

Ali, Shiraz Siddiq, et al. "A Rare Case of Spontaneous Spinal Epidural Hematoma in a 43-year-old Man." Journal of the American College of Emergency Physicians Open, vol. 2, no. 4, 2021, pp. e12532.
Ali SS, Paramanathan N, Gilligan P. A rare case of spontaneous spinal epidural hematoma in a 43-year-old man. J Am Coll Emerg Physicians Open. 2021;2(4):e12532.
Ali, S. S., Paramanathan, N., & Gilligan, P. (2021). A rare case of spontaneous spinal epidural hematoma in a 43-year-old man. Journal of the American College of Emergency Physicians Open, 2(4), e12532. https://doi.org/10.1002/emp2.12532
Ali SS, Paramanathan N, Gilligan P. A Rare Case of Spontaneous Spinal Epidural Hematoma in a 43-year-old Man. J Am Coll Emerg Physicians Open. 2021;2(4):e12532. PubMed PMID: 34401868.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A rare case of spontaneous spinal epidural hematoma in a 43-year-old man. AU - Ali,Shiraz Siddiq, AU - Paramanathan,Natasha, AU - Gilligan,Peadar, Y1 - 2021/08/11/ PY - 2020/06/29/received PY - 2021/07/18/revised PY - 2021/07/20/accepted PY - 2021/8/17/entrez PY - 2021/8/18/pubmed PY - 2021/8/18/medline KW - back pain KW - epidural hematoma KW - hemorrhage KW - neurological deficit KW - spine KW - spontaneous spinal epidural hematoma KW - thoracic spine SP - e12532 EP - e12532 JF - Journal of the American College of Emergency Physicians open JO - J Am Coll Emerg Physicians Open VL - 2 IS - 4 N2 - Spontaneous spinal epidural hematoma is a rare neurosurgical condition that is often difficult to diagnose in the emergency department and can cause permanent neurological deficits if diagnosis is delayed or incorrect. We present the case of a 43-year-old man who was initially investigated for cardiac events, suspected posterior circulation stroke, or arterial dissection. All investigations were normal, which led us to perform magnetic resonance imaging of the brain, neck, and cervicothoracic spine, which revealed spontaneous spinal epidural hematoma. Publication of this case raises awareness of this rare neurosurgical emergency and the importance of differential diagnosis to avoid misdiagnosis in patients presenting with sudden-onset cervicothoracic back pain radiating to the upper limbs bilaterally with neurological deficit and a history of discectomy or receiving anticoagulants. Our study highlights the importance of early discussions with the consultant and specialty involvement in such cases. SN - 2688-1152 UR - https://www.unboundmedicine.com/medline/citation/34401868/A_rare_case_of_spontaneous_spinal_epidural_hematoma_in_a_43_year_old_man_ DB - PRIME DP - Unbound Medicine ER -
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