Acute and Rapid Development of Spontaneous Spinal Epidural Hematoma Associated with Combined Aspirin-Dipyridamole Therapy.

Autor: Kent Yamaguchi, Mathew, Justin, Lhi, James M., Don Young Park
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Zdroj: JBJS Case Connector; Jan-Mar2017, Vol. 7 Issue 1, p1-4, 4p
Abstrakt: 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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index