Spontaneous Thoracic Spinal Epidural Hematoma after Use of Anticoagulant.
10.4184/jkss.2004.11.2.125
- Author:
Heui Jeon PARK
1
;
Jong Se JEON
Author Information
1. Department of Orthopaedic Surgery, Wonju College of Medicine, Yonsei University, Wonju, Korea. par73@wonju.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Thoracic spine;
Epidural hematoma;
Anticoagulant
- MeSH:
Aged;
Angina, Unstable;
Decompression;
Decompression, Surgical;
Hematoma;
Hematoma, Epidural, Spinal*;
Heparin;
Humans;
Magnetic Resonance Imaging
- From:Journal of Korean Society of Spine Surgery
2004;11(2):125-129
- CountryRepublic of Korea
- Language:Korean
-
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.
