Spontaneous Spinal Epidural Hematoma after use of Anticoagulation Therapy.
10.4184/jkss.2008.15.2.111
- Author:
Young Sang LEE
1
;
Woo Sung KIM
;
Jun Cheol CHOI
;
Hwa Yeop NA
;
Min Ho SHIN
Author Information
1. Department of Orthopedic Surgery, Bundang Jaesang General Hospital, Seongnam, Korea. w00wa@dmc.or.kr
- Publication Type:Case Report
- Keywords:
Spinal cord compression;
Epidural hematoma;
Anticoagulants;
Hematoma;
Laminectomy
- MeSH:
Anticoagulants;
Aspirin;
Early Diagnosis;
Female;
Hematoma;
Hematoma, Epidural, Spinal;
Hemorrhage;
Heparin;
Humans;
Laminectomy;
Middle Aged;
Neurologic Manifestations;
Platelet Aggregation Inhibitors;
Spinal Cord Compression
- From:Journal of Korean Society of Spine Surgery
2008;15(2):111-114
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spontaneous epidural hematoma (SEH) is an uncommon cause of spinal cord compression. It tends to occur in patients at high risk for hemorrhage. Various medications are associated with SEH, including antiplatelet agents, anticoagulants, and thrombolytics. Because patients usually present with neurologic deficits, early diagnosis and proper management are required to achieve full recovery. The principal management is surgical evacuation of the SEH via laminectomy. We present a case of a 51-year-old woman on both oral aspirin and intravenous heparin who subsequently developed a SEH.
