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Evolving Paralysis after Motor Vehicle Collision
Nicole Prendergast1, Youyou Duanmu1
1Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California.
Case Presentation:
An 85-year-old male who had been prescribed prasugrel presented to the emergency department (ED) after a motor vehicle collision and developed progressive neurological deficits. Computed tomography imaging demonstrated epidural thickening from the second through seventh cervical vertebrae, and magnetic resonance imaging was notable for a cervicothoracic epidural hematoma. The patient underwent emergent decompression with a favorable outcome.
Discussion:
Cases of traumatic spinal epidural hematomas are rarely seen in the ED. These are part of a small subset of operative neurological emergencies that benefit from urgent surgical intervention.
