Spontaneous Spinal Epidural Hematoma Caused by Dual Antiplatelet Agent Therapy after Percutaneous Coronary Intervention.
- Author:
Sun Woo KIM
1
;
Hana YOO
;
Young Jin SONG
;
Dong Hee HAN
;
Ji Hyun KIM
;
Eun Jeong CHOI
;
Namho LEE
Author Information
1. Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. namholee2@hotmail.com
- Publication Type:Case Report
- Keywords:
Hematoma, Epidural, Spinal;
Aspirin;
Clopidogrel
- MeSH:
Accounting;
Aspirin;
Hematoma, Epidural, Spinal;
Humans;
Hypertension;
Myocardial Ischemia;
Percutaneous Coronary Intervention;
Platelet Aggregation Inhibitors;
Prescriptions;
Ticlopidine;
Vascular Malformations;
Venous Pressure
- From:Korean Journal of Medicine
2013;84(5):718-722
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spontaneous spinal epidural hematomas (SSEH) are rare, accounting for less than 1% of all spinal epidural lesions. The potential causes include coagulopathies, antithrombotic drugs, hypertension, increased venous pressure, and vascular malformations. A SSEH causes severe neurological deficits unless treated in a timely manner. As the number of patients who are diagnosed with ischemic heart disease and treated using percutaneous coronary intervention (PCI) increases, the prescription of dual antiplatelet agents is also increasing. We report a case of SSEH caused by dual antiplatelet agent therapy in a patient who had undergone PCI.
