Spontaneous Spinal Epidural Hematomas Associated With Acute Myocardial Infarction Treatment
Korean Circulation Journal
;
: 759-762, 2011.
Artigo
em Inglês
| WPRIM
| ID: wpr-113379
ABSTRACT
Many studies have reported spontaneous spinal epidural hematoma (SSEH). Although most cases are idiopathic, several are associated with thrombolytic therapy or anticoagulants. We report a case of SSEH coincident with acute myocardial infarction (AMI), which caused serious neurological deficits. A 56 year old man presented with chest pain accompanied with back and neck pain, which was regarded as an atypical symptom of AMI. He was treated with nitroglycerin, aspirin, low molecular weight heparin, and clopidogrel. A spinal magnetic resonance image taken after paraplegia developed 3 days after the initial symptoms revealed an epidural hematoma at the cervical and thoracolumbar spine. Despite emergent decompressive surgery, paraplegia has not improved 7 months after surgery. A SSEH should be considered when patients complain of abrupt, strong, and non-traumatic back and neck pain, particularly if they have no spinal pain history.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Paraplegia
/
Coluna Vertebral
/
Dor no Peito
/
Ticlopidina
/
Espectroscopia de Ressonância Magnética
/
Terapia Trombolítica
/
Aspirina
/
Nitroglicerina
/
Heparina de Baixo Peso Molecular
/
Cervicalgia
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Circulation Journal
Ano de publicação:
2011
Tipo de documento:
Artigo
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