An Uncommon Cause of Compressive Myelopathy Misdiagnosed as Transverse Myelitis

Nontalee Thongsong MD*, Suwanna Setthawatcharawanich MD*, Pornchai Sathirapanya MD*, Kitti Limapichat MD*, Kanitpong Phabphal MD*

Affiliation : * Division of Neurology, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand

Though spontaneous spinal epidural hematoma is a very uncommon cause of spinal cord compression, early correct diagnosis is crucial for final clinical outcome. A case of spontaneous spinal epidural hematoma with similar clinical presentation to transverse myelitis was reported. Careful clinical correlation and multiple sequences of spinal magnetic resonance images are critical factors for early diagnosis.

Keywords : Spinal epidural hematoma, Spinal cord compression, Myelitis, Magnetic resonance imaging

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