Spontaneous Cervical Epidural Hematoma Presenting as Brown-Sequard Syndrome Following Repetitive Korean Traditional Deep Bows

✓A spinal epidural hematoma is an extremely rare complication of cervical spine manipulation therapy (CSMT). The authors present the case of an adult woman, otherwise in good health, who developed Brown–Séquard syndrome after CSMT. Decompressive surgery performed within 8 hours after the onset of symptoms allowed for complete recovery of the patient's preoperative neurological deficit. The unique feature of this case was the magnetic resonance image showing increased signal intensity in the paraspinal musculature consistent with a contusion, which probably formed after SMT. The pertinent literature is also reviewed.

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Spontaneous spinal epidural hematoma presenting as Brown-Séquard syndrome

The American Journal of Emergency Medicine ◽

10.1016/j.ajem.2012.11.018 ◽

2013 ◽

Vol 31 (4) ◽

pp. 757.e3-757.e4 ◽

Cited By ~ 5

Author(s):

Jung-In Ko ◽

Taikwan Kim ◽

Cheol Su Jwa ◽

Ji Yeon Jang ◽

Ki Young Jeong ◽

...

Keyword(s):

Epidural Hematoma ◽

Spinal Epidural Hematoma ◽

Spontaneous Spinal Epidural Hematoma ◽

Spinal Epidural ◽

Brown Sequard Syndrome

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Spontaneous Spinal Epidural Hematoma, Brown-Séquard Syndrome, and Factor Xl Deficiency

Annals of Internal Medicine ◽

10.7326/0003-4819-106-3-477_2 ◽

1987 ◽

Vol 106 (3) ◽

pp. 477 ◽

Cited By ~ 26

Author(s):

MAHMOUD H. MUSTAFA

Keyword(s):

Epidural Hematoma ◽

Spinal Epidural Hematoma ◽

Spontaneous Spinal Epidural Hematoma ◽

Spinal Epidural ◽

Brown Sequard Syndrome

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Spinal epidural hematoma and the Brown-Sequard syndrome

Neurology ◽

10.1212/wnl.21.10.1066 ◽

1971 ◽

Vol 21 (10) ◽

pp. 1066-1066 ◽

Cited By ~ 33

Author(s):

B. S. Russman ◽

K. H. Kazi

Keyword(s):

Epidural Hematoma ◽

Spinal Epidural Hematoma ◽

Spinal Epidural ◽

Brown Sequard Syndrome

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Brown-Seéquard Syndrome Associated with Posttraumatic Cervical Epidural Hematoma: Case Report and Review of the Literature

Neurosurgery ◽

10.1227/00006123-198908000-00020 ◽

1989 ◽

Vol 25 (2) ◽

pp. 278-280 ◽

Cited By ~ 31

Author(s):

Gerald M. Zupruk ◽

Zoya Mehta

Keyword(s):

Case Report ◽

Epidural Hematoma ◽

Correct Diagnosis ◽

Full Recovery ◽

Review Of The Literature ◽

Chiropractic Manipulation ◽

Computed Tomographic ◽

Surgical Evacuation ◽

Post Traumatic ◽

Brown Sequard Syndrome

Abstract Post-traumatic cervical epidural hematoma is an uncommon entity. A case is presented in which such a lesion developed after chiropractic manipulation of the neck. The patient presented with a Brown-Séquard syndrome, which has only rarely been reported in association with cervical epidural hematoma. The correct diagnosis was obtained by computed tomographic scanning. Surgical evacuation of the hematoma was followed by full recovery.

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Spontaneous cervical epidural hematoma with incomplete Brown-Sequard Syndrome

Romanian Neurosurgery ◽

10.1515/romneu-2015-0058 ◽

2015 ◽

Vol 29 (4) ◽

pp. 427-434

Author(s):

Mugurel Radoi ◽

Florin Stefanescu ◽

Ram Vakilnejad ◽

Lidia Gheorghitescu

Keyword(s):

Epidural Hematoma ◽

Brown Sequard Syndrome

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Spontaneous Cervical Epidural Hematoma Causing Brown-Sequard Syndrome

Korean Journal of Spine ◽

10.14245/kjs.2012.9.3.297 ◽

2012 ◽

Vol 9 (3) ◽

pp. 297 ◽

Cited By ~ 1

Author(s):

Byul Hee Yoon ◽

Ki Seok Park ◽

Sung Sam Jung ◽

Mun Sun Park ◽

Seong-Min Kim ◽

...

Keyword(s):

Epidural Hematoma ◽

Brown Sequard Syndrome

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Rivaroxaban-induced acute cervical spine epidural hematoma: Report of a case and review

Surgical Neurology International ◽

10.25259/sni_390_2019 ◽

2019 ◽

Vol 10 ◽

pp. 210 ◽

Cited By ~ 1

Author(s):

Abolfazl Rahimizadeh ◽

Zahed Malekmohammadi ◽

Walter L. Williamson ◽

Shaghayegh Rahimizadeh ◽

Mahan Amirzadeh ◽

...

Keyword(s):

Epidural Hematoma ◽

Factor Xa ◽

Acute Onset ◽

Factor Xa Inhibitors ◽

Factor Xa Inhibitor ◽

Case Description ◽

Elderly Female ◽

Hemorrhagic Event ◽

Spinal Epidural ◽

Brown Sequard Syndrome

Background: Spontaneous spinal epidural hematomas (SEHs) due to the utilization of factor Xa inhibitors are rare. Case Description: A 66-year-old female presented with a Brown-Sequard syndrome attributed to a cervical epidural hematoma secondary to the utilization of rivaroxaban, one of the factor Xa inhibitors. Following a cervical laminectomy for the evacuation of the hematoma, the patient completely recovered. Conclusion: A spinal hemorrhagic event should be suspected in patients receiving factor Xa inhibitor drugs. Here, we had an elderly female on rivaroxaban experienced the acute onset of neck/back pain associated with a Brown-Sequard syndrome. A literature review showed that this is the seventh example of SEH occurring as a result of the use of anticoagulation drugs (OACDs; e.g., including Xa inhibitors).

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