Relapsed spontaneous spinal epidural hematoma associated with aspirin and clopidogrel
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Seong Hoon Lim • Bo Young Hong • Ye Rim Cho • Han Seung Kim • Jong In Lee • Hye Won Kim • Young Jin Ko
- چاپ و سال / کشور: 2011
Description
is a rare spinal pathology. A 57-year-old man who had hypertension and had been on dual antiplatelet therapy with aspirin and clopidogrel for primary prevention presented with the sudden onset of mid back pain and monoplegia of the left lower extremity. Magnetic resonance imaging revealed an epidural hematoma, and the patient underwent emergency hemilaminectomy for evacuation. However, the symptoms worsened, and complete paraplegia developed. A second procedure to remove the recurrent hematoma was performed. No vascular malformation or other possible cause for SSEH was found other than the aspirin and clopidogrel medication. This case report describes relapsed SSEH caused by the combination of aspirin and clopidogrel medication and urges caution in prescribing dual antiplatelet agents.
Neurol Sci (2011) 32:687–689 DOI 10.1007/s10072-011-0508-5 Received: 19 March 2010 / Accepted: 17 February 2011 / Published online: 8 March 2011
