Initial spinal epidural hematoma symptoms mimic artery dissection

Shunya Yabuki; Hiroyuki Hirai; Masayuki Miyajima; Takatomo Moro

doi:10.1002/ccr3.8652

Initial spinal epidural hematoma symptoms mimic artery dissection

Clin Case Rep. 2024 Mar 8;12(3):e8652. doi: 10.1002/ccr3.8652. eCollection 2024 Mar.

Authors

Shunya Yabuki¹, Hiroyuki Hirai¹, Masayuki Miyajima², Takatomo Moro³

Affiliations

¹ Department of 3rd Internal Medicine Shirakawa Kosei General Hospital Fukushima Japan.
² Department of Radiology Shirakawa Kosei General Hospital Fukushima Japan.
³ Department of Orthopedic Surgery Shirakawa Kosei General Hospital Fukushima Japan.

Abstract

An elderly patient with upper back pain and hypertension was diagnosed as having spontaneous spinal epidural hematoma (SSEH) after excluding artery dissection. The initial symptoms of SSEH mimic those of artery dissection, and the symptoms of spinal damage frequently appear later. Physicians should, therefore, be mindful of SSEH.

Keywords: acute upper‐back pain; artery dissection; elderly patient; hypertension; spontaneous spinal epidural hematoma.

Publication types

Case Reports