{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T06:57:01Z","timestamp":1781333821691,"version":"3.54.1"},"reference-count":19,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2009,6]]},"abstract":"<jats:p>Spontaneous spinal epidural hematoma (SSEH) is rare. Its etiology remains controversial; however, spinal venous wall susceptibility to intravenous pressure change and the resultant venous rupture seem to be involved. The authors report a case of SSEH dorsal to the spine producing acute anterior spinal cord syndrome. A posterior SSEH between the C-3 and T-5 levels caused progressive tetraparesis and the disappearance of superficial body sensation below the level of C-8, although deep sensation remained completely intact. This neurological false localizing sign seems to have resulted from counterforce by preexisting asymptomatic cervical intervertebral disc herniation at the C6\u20137 levels inducing direct pressure on the anterior spinal cord. This case is the first reported instance of posterior cervical SSEH manifesting acute anterior spinal cord syndrome as its false localizing sign.<\/jats:p>","DOI":"10.3171\/2009.2.spine08342","type":"journal-article","created":{"date-parts":[[2009,9,30]],"date-time":"2009-09-30T10:55:46Z","timestamp":1254308146000},"page":"574-577","source":"Crossref","is-referenced-by-count":13,"title":["Spontaneous spinal epidural hematoma inducing acute anterior spinal cord syndrome"],"prefix":"10.3171","volume":"10","author":[{"given":"Ai","family":"Kunizawa","sequence":"first","affiliation":[{"name":"Departments of Critical Care Medicine and"},{"name":"Stroke Center, Helios General Hospital Aue, Dresden University of Technology, Aue, Saxony, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Fujioka","sequence":"additional","affiliation":[{"name":"Neurosurgery, Kansai Medical University, Hirakata-city, Osaka, Japan; and"},{"name":"Stroke Center, Helios General Hospital Aue, Dresden University of Technology, Aue, Saxony, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Departments of Critical Care Medicine and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Ryu","sequence":"additional","affiliation":[{"name":"Neurosurgery, Kansai Medical University, Hirakata-city, Osaka, Japan; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akio","family":"Asai","sequence":"additional","affiliation":[{"name":"Neurosurgery, Kansai Medical University, Hirakata-city, Osaka, Japan; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiji","family":"Kawamoto","sequence":"additional","affiliation":[{"name":"Neurosurgery, Kansai Medical University, Hirakata-city, Osaka, Japan; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhide","family":"Kitazawa","sequence":"additional","affiliation":[{"name":"Departments of Critical Care Medicine and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0100574","series-title":"Int J Clin Pract","first-page":"478","article-title":"Spontaneous cervical epidural haematoma","volume":"51","author":"Aitken","year":"1997"},{"key":"b2-0100574","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"143","DOI":"10.3171\/jns.1984.61.1.0143","article-title":"Spontaneous cervical epidural hematoma. 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