Spontaneous spinal epidural hemorrhage and sentinel headache—A case report
| Autor: | Joseph P. Hanna, David S. Enyart, John R. Absher |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Lumbar puncture business.industry Magnetic resonance imaging medicine.disease Surgery 03 medical and health sciences Myelopathy 0302 clinical medicine Cerebrospinal fluid Epidural hematoma Neurology medicine 030212 general & internal medicine Neurology (clinical) Differential diagnosis business Spinal cord injury 030217 neurology & neurosurgery Thunderclap headaches |
| Zdroj: | Headache: The Journal of Head and Face Pain. 61:969-971 |
| ISSN: | 1526-4610 0017-8748 |
| DOI: | 10.1111/head.14143 |
| Popis: | Objectives/background Expand the differential diagnosis of sentinel headache to include spontaneous spinal epidural hematoma (SSEH) and reinforce the need for lumbar puncture in the evaluation of thunderclap headache. SSEH is a rare clinical presentation especially in the absence of bleeding tendencies. Clinicians recognize SSEH with typical presenting signs and symptoms including regional paraspinal muscular contraction and pain along with myelopathy. Although thunderclap headache usually does not connote vascular rupture in the spinal epidural compartment, SSEH may rarely present with sentinel headache and later evolve into a myelopathy. Results and conclusion Sentinel headache may be the sole symptom following spontaneous spinal epidural hemorrhage preceding both myelopathic and meningeal signs and symptoms. SSEH can best be diagnosed by lumbar puncture at this early moment potentially averting spinal cord injury. |
| Databáze: | OpenAIRE |
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