Spontaneous spinal epidural hemorrhage and sentinel headache—A case report.
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 tenden...
| Publicado en: | Headache: The Journal of Head & Face Pain Vol. 61; no. 6; pp. 969 - 972 |
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| Autores principales: | , , |
| Formato: | case study diagnostic images Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151209852&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151209852 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00178748 4AP jtl: Headache: The Journal of Head & Face Pain issn: 00178748 maglogo: Y pubinfo: dt: Jun2021 vid: 61 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 151209852 150984034 151209852 151209852 10.1111/head.14143 151209852 ppf: 969 ppct: 3 formats: tig: atl: Spontaneous spinal epidural hemorrhage and sentinel headache—A case report. aug: au: Hanna, Joseph P. Absher, John R. Enyart, David S. affil: Cerebrovascular Disease and Stroke Center, Prisma Health, Greenville SC,, USA sug: subj: Hematoma Diagnosis Subarachnoid Hemorrhage Diagnosis Headache Middle Age Female Tomography, X-Ray Computed Computed Tomography Angiography Magnetic Resonance Imaging Cryptococcus Middle Aged: 45-64 years Female ab: 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. pubtype: Academic Journal doctype: case study diagnostic images Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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