Spontaneous spinal epidural hematoma related to amphetamine abuse: A case report
Sami Obaid1, Lior M Elkaim2, Charles Gariepy3
1Division of Neurosurgery, Centre Hospitalier de l'Université de Montréal (CHUM), Quebec, Canada.
Background:
Spontaneous spinal epidural hematoma (SSEH) is a rare condition that is typically associated with hypertension, the use of antithrombotic or sympathomimetic drugs. Here, we report a case of SSEH attributed to the use of amphetamines.
Case Description:
A 27-year-old amphetamine user presented with the sudden onset of paraplegia (Frankel A) following amphetamine use. An MRI revealed C7-T2 spinal cord compression due to an epidural hematoma. Following a negative angiogram, the SSEH was removed, and the patient markedly recovered. Notably, by exclusion, the etiology for the SSEH was attributed to the use of amphetamines.
Conclusion:
Here, we demonstrate the case of a 27-year-old male who presented paraplegic due to an acute C7- T2 SSEH secondary to amphetamine abuse.
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