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A Case of Myocardial Infarction in a Patient With Spontaneous Spinal Subdural Hematoma
Zhongying Liu-An1, Vladimir Joseph2, Stacey Damito1
1Medicine, Hackensack University Medical Center, Hackensack, USA.
Abstract:
Spontaneous spinal subdural hematoma (SSDH) is an extremely rare clinical condition and a neurologic emergency that is most commonly associated with anticoagulation therapy and coagulopathy. We present a case of myocardial infarction (MI) with an unusually high troponin level in the setting of SSDH. This case underscores the challenges and importance of properly differentiating type 1 MI from type 2 MI as the management is different. It also presents challenges in managing MI in the setting of recent bleeding in the context of desired anticoagulation and antiplatelet therapy.
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