August 1, 2025Clinical Case ReportsOpen Access

Post‐Acupuncture Acute Cervical Spinal Epidural Hematoma With Hemiplegia Misdiagnosed as Cerebral Infarction: A Case Report and Literature Review

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Resolution of right-sided hemiplegia occurred after conservative management of post-acupuncture epidermal hematoma, enhancing neurological function.
Initial misdiagnosis of cerebral infarction led to inappropriate alteplase use, which was halted after CT confirmed the hematoma.
Case reports involve a singular patient who had cervical pain and underwent acupuncture before presenting with acute neurological deficits.
Highlights the importance of recognizing post-acupuncture hematoma symptoms to improve patient outcomes, alerting clinicians to potential complications.

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Case report highlights misdiagnosis of acute cervical spinal epidural hematoma in hemiplegic patient, suggesting conservative management indicated.

Wang et al. (2025) studied this question.

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Case report highlights misdiagnosis of acute cervical spinal epidural hematoma in hemiplegic patient, suggesting conservative management indicated.