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Spontaneous spinal epidural haematoma mimicking acute coronary syndrome

Noor Mohammed1, Muhammad Shahid1, Munirul Haque1

  • 11 Department of Cardiology, 2 Department of Radiology, Heart of England NHS Trust, Birmingham B9 5SS, UK.

Quantitative Imaging in Medicine and Surgery
|January 26, 2016
PubMed

Spontaneous spinal epidural hematoma (SSEH) is an acute neurological emergency which carries significant morbidity unless diagnosed and treated in a timely fashion. Some cases of SSEH are idiopathic but there is a well-recognised association with deranged coagulation and abnormalities of clotting. In recent years there has been increasing availability of novel anti-platelet agents, often prescribed in the setting of suspected acute coronary syndromes (ACS) and following percutaneous coronary interventions and these agents also present an increased risk of SSEH. We present a case of SSEH following an acute presentation with chest pain and treatment with dual anti-platelet therapy.

Keywords:
Spinal haematomamagnetic resonance imaging (MRI)neurosurgery

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