TY  - JOUR
T1  - Spontaneous Spinal Epidural Haematoma Mimicking a Heart Attack: A Case Report
AU  - Avci, Akkan
AU  - İştemen, İsmail
PY  - 2022
DA  - June
DO  - 10.33706/jemcr.1051335
JF  - Journal of Emergency Medicine Case Reports
PB  - Acil Tıp Uzmanları Derneği
WT  - DergiPark
SN  - 2149-9934
SP  - 56
EP  - 58
VL  - 13
IS  - 2
LA  - en
AB  - Introduction: Spontaneous spinal epidural hematoma (SSEH) is a rare disease. Typical symptoms develop chest and back pain, numbness, radicular paresthesis, sensory deprivation and progressive paralysis. SSEH sometimes mimics other diseases like stroke, lung pathologies, myocard infarctus (MI). This situation makes it difficult to treat this pathology. Case Report: We presented a case with epidural hematoma which compressing the spinal cord at the T2-4 level. He had applied to our emergency service with acute severe chest pain and numbness. He was given clopydogrel, acetylsalicylic acid for the medical treatment of MI by the cardiologist. Therefore, progressive paralysis of lower limbs, incontinence and sensory deprivation were developed. Laminectomy and hematoma evacuation were performed. After phisical therapy, he had a complete neurological recovery on the postoperative day 14.Coclusion: SSEH should be kept in mind and early surgical treatment should be performed if neurological deterioration develops.
KW  - Chest pain
KW  - myocardial ischemia
KW  - spinal epidural hematoma
KW  - emergency
CR  - 1.	Dimou J, Jithoo R, Morokoff A: Spontaneous spinal epidural haematoma in a geriatric patient on aspirin. J Clin Neurosci 17: 142–4, 2010.doi:10.1016/j.jocn.2009.03.021.
CR  - 2.	Foo D, Rossier AB: Preoperative neurological status in predicting surgical outcome of spinal epidural hematomas. Surg Neurol 15: 389-401, 1981.doi:10.1016/0090-3019(81)90178-6.
CR  - 3.	Ishida A, Matsuo S, Niimura K, Yoshimoto H, Shiramizu H, Hori T: Cervical spontaneous spinal epidural hematoma with internal jugular vein thrombosis. J Neurosurg Spine 15: 187-9,2011.doi:10.3171/2011.3.SPINE10673.
CR  - 4.	Kim T, Lee CH, Hyun SJ, Yoon SH, Kim KJ, Kim HJ: Clinical Outcomes of Spontaneous Spinal Epidural Hematoma: A Comparative Study between Conservative and Surgical Treatment. J Korean Neurosurg Soc 52: 523-7, 2012. doi:10.3340/jkns.2012.52.6.523.
CR  - 5.	Hentschel SJ, Woolfenden AR, Fairholm DJ: Resolution of spontaneous spinal epidural hematoma without surgery: report of two cases. Spine 26: 525-7, 2001.doi:10.1097/00007632-200111150-00025.
CR  - 6.	Narberhaus B, Rivas I, Vilalta J, Abos J, Ugarte A: Transient Brown-Sequard syndrome due to spontaneous spinal epidural hematoma [in Spanish]. Neurologia 17: 384–7, 2002.PMID:12236959.
CR  - 7.	Anderson TJ, Donaldson IM: Spontaneous resolution of cervical spinal epidural haematoma. Postgrad Med J 65: 488–90, 1989.doi:10.1136/pgmj.65.765.488.
CR  - 8.	Groen RJ: Non-operative treatment of spontaneous spinal epidural hematomas: a review of the literature and a comparison with operative cases. Acta Neurochir 146: 103-10, 2004.doi:10.1007/s00701-003-0160-9.
CR  - 9.	Groen RJM, Van Alphen HA: Operative treatment of spontaneous spinal epidural hematomas: a study of the factors determining postoperative outcome. Neurosurgery 39:494–509,1996.doi:10.1097/00006123-199609000-00012.
CR  - 10.	Sakaguchi K, Tokuda Y. Left shoulder pain in patients with old myocardial infarction could be a neuropathic pain from spinal epidural haematoma. BMJ Case Rep 2018 Aug 23. doi:10.1136/bcr-2018-226159.
UR  - https://doi.org/10.33706/jemcr.1051335
L1  - https://dergipark.org.tr/en/download/article-file/2167543
ER  -