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JBJS Case Connect ; 7(1): e19, 2017.
Article in English | MEDLINE | ID: mdl-29244699

ABSTRACT

CASE: Spontaneous spinal epidural hematoma (SSEH) is a known, although rare, clinical entity that may be challenging to diagnose. This case report describes the rapid development of a large SSEH in an elderly patient on aspirin-dipyridamole combination therapy after she shifted her position in bed. Magnetic resonance imaging obtained 4 hours after the onset of symptoms demonstrated a large spinal epidural hematoma that extended from T4 to L1. CONCLUSION: With early diagnosis, the patient was successfully treated with a laminectomy and evacuation of the hematoma, and there was full neurological recovery.


Subject(s)
Aspirin, Dipyridamole Drug Combination/adverse effects , Hematoma, Epidural, Spinal/chemically induced , Acute Disease , Aged, 80 and over , Female , Hematoma, Epidural, Spinal/surgery , Humans , Laminectomy/methods
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