Abstract
A case of cervical epidural hematoma with symptom aggravation after improper anticoagulant therapy
Highlights
The advent of tissue plasminogen activator has greatly advanced the treatment of cerebral infarction. tPA should be administered within 3–4.5 hours after symptom onset [1], and tPA treatment may be initiated before definitive diagnosis
We present a rare case of spontaneous cervical spinal epidural hematoma (SEH) in which the symptoms were aggravated by improper tPA administration after misdiagnosis
Another study concluded that patients with hemiparesis in the absence of cranial nerve signs should always have cervical spinal cord lesion included in the differential diagnoses [8]
Summary
The advent of tissue plasminogen activator (tPA) has greatly advanced the treatment of cerebral infarction. tPA should be administered within 3–4.5 hours after symptom onset [1], and tPA treatment may be initiated before definitive diagnosis. TPA should be administered within 3–4.5 hours after symptom onset [1], and tPA treatment may be initiated before definitive diagnosis. We present a rare case of spontaneous cervical spinal epidural hematoma (SEH) in which the symptoms were aggravated by improper tPA administration after misdiagnosis. There are only four reports of cervical SEH being treated incorrectly with tPA in the English literature [2,3,4,5].
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