Abstract
An 80-year-old man presented with posterior cervical pain, right hemiparesis, paresthesia, speech disorder and facial hypesthesia after he had rotated his neck. At first, it was suspected that, he had developed cerebral infarction due to vertebral artery dissection, but head MRI obtained at 14 hours after onset showed no acute lesion. We reevaluated the "speech disorder" and "facial hypesthesia" not as neurological symptoms, and diagnosed cervical epidural hematoma by neck MRI. The "speech disorder" was due to dry mouth, and the "facial hypesthesia" fluctuated and was unreliable. Among patients with headache or neck pain suspicious of stroke, it is important to diagnose neurologically the exact location of the lesion, giving consideration to cervical or cervicothoracic epidural hematoma which is rare but the treatment for which is completely different from that for cerebral infarction.
