A Resolving Hematoma Causing Cortical Hand Syndrome Mistaken as a Hemorrhagic Tumor in a Patient Presenting for Sacroiliac Joint Injection: Case Report

Lei Lu; Patrick Hussey; Martin D Burke

A Resolving Hematoma Causing Cortical Hand Syndrome Mistaken as a Hemorrhagic Tumor in a Patient Presenting for Sacroiliac Joint Injection: Case Report

Pain Med Case Rep. 2022 Sep;6(5):195-197.

Authors

Lei Lu¹, Patrick Hussey², Martin D Burke³

Affiliations

¹ null.
² Department of Pathology and Laboratory Medicine, Medical University of South Carolina, SC.
³ Department of Anesthesiology & Perioperative Medicine, Medical University of South Carolina, SC.

PMID: 41299934

Abstract

Background: Many diseases mimic tumors radiographically and clinically.

Case report: Here we are presenting a challenging case. A 71-year-old patient who presented with chronic back pain was scheduled to have a sacroiliac joint injection. In the weeks before his injection, he developed isolated right-hand weakness and was confirmed to have a resolving hematoma that caused cortical hand syndrome, confirmed by pathology after surgery, and mimicked a tumor radiographically and clinically.

Conclusion: In conclusion, it is very important to keep a broad differential when encountering challenging cases.

Keywords: Case report; hematoma; sacroiliac joint injection; tumor.

Publication types

Case Reports