Spontaneous Spinal Epidural Haematoma Mimicking a Heart Attack: A Case Report

Year 2022, Volume: 13 Issue: 2, 56 - 58, 23.06.2022

İsmail İştemen , Akkan Avci

https://doi.org/10.33706/jemcr.1051335

Cited By: 1

Abstract

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.

Keywords

Chest pain, myocardial ischemia, spinal epidural hematoma, emergency

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