{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T22:49:05Z","timestamp":1788648545362,"version":"build-2803163510"},"reference-count":21,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Spontaneous spinal epidural hematoma (SSEH) is a rare neurological emergency that can mimic acute myocardial infarction due to overlapping symptoms such as chest and back pain. Misdiagnosis may lead to inappropriate treatments such as anticoagulation, potentially worsening the patient\u2019s condition.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>We report a 64-year-old woman with hypertension and a history of breast cancer who presented with chest and upper back pain, accompanied by left arm numbness. Mildly elevated troponin levels led to an initial diagnosis of acute coronary syndrome (ACS). Brain imaging was unremarkable, and coronary angiography revealed normal vessels. However, progressive left-sided hemiparesis and urinary retention prompted cervical magnetic resonance imaging, which revealed a subacute epidural hematoma at the C5\u2013C7 level. Urgent decompressive hemilaminotomy was performed, resulting in gradual neurological recovery. By postoperative day 10, the patient had regained full motor strength.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>This case underscores the diagnostic challenges of SSEH presenting with atypical chest symptoms. Clinicians should maintain a high index of suspicion for spinal pathology in patients with axial pain and evolving neurological deficits, even when initial cardiac evaluations are suggestive of ACS. Timely spinal imaging is critical to avoid harmful interventions and enable prompt surgical treatment.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_490_2025","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T10:23:41Z","timestamp":1753439021000},"page":"306","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Spontaneous spinal epidural hematoma mimicking acute coronary syndrome: A case report and literature review"],"prefix":"10.25259","volume":"16","author":[{"given":"Kivanc","family":"Yangi","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Alomari","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Health Sciences, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haydar","family":"G\u00f6k","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Yeni Yuzy\u0131l University Gaziosmanpasa Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"10.25259\/SNI_490_2025\/ref-1","doi-asserted-by":"crossref","first-page":"182","DOI":"10.4103\/sni.sni_197_17","article-title":"Spinal epidural hematoma mimicking subarachnoid hemorrhage: A case study","volume":"8","author":"Aristedis","year":"2017","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_490_2025\/ref-2","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.jocn.2009.03.021","article-title":"Spontaneous spinal epidural haematoma in a geriatric patient on aspirin","volume":"17","author":"Dimou","year":"2010","journal-title":"J Clin Neurosci"},{"key":"10.25259\/SNI_490_2025\/ref-3","doi-asserted-by":"crossref","first-page":"286","DOI":"10.4103\/ajns.AJNS_333_17","article-title":"Spontaneous cervical epidural hematoma with stroke manifestations","volume":"14","author":"Emamhadi","year":"2019","journal-title":"Asian J Neurosurg"},{"key":"10.25259\/SNI_490_2025\/ref-4","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/0022-510X(90)90253-J","article-title":"The spontaneous spinal epidural hematoma. 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