Spontaneous Thoracic Spinal Epidural Hematoma after Use of Anticoagulant / 대한척추외과학회지

ABSTRACT

A spinal epidural hemorrhage, secondary to thrombolytic and anticoagulative therapies, is becoming increasingly common. Urgent surgical decompression is generally warranted to preserve the neurological function. This case report describes an epidural hematoma, with neurological sequelae, in an elderly patient who received intravenous heparin therapy for about 48hrs due to unstable angina. The posterior decompression was urgently treated, but the neurological changes did not recover. The magnetic resonance imaging and operative findings are presented, along with a discussion of the anatomical and pathophysiological considerations that could lead to such a condition.