Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2016; 44(2): 158-160 | DOI: 10.5543/tkda.2015.68957

Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome

Ferhat Özyurtlu1, Nurullah Çetin2, Nihat Pekel3, Mehmet Emre Özpelit3
1Department of Cardiology, Special Grand Medical Hospital, Manisa, Turkey
2Department of Cardiology, Karsiyaka State Hospital, Izmir, Turkey
3Department of Cardiology, İzmir University Faculty of Medicine, Izmir, Turkey

A 56-year-old female patient hospitalized with diagnosis of acute coronary syndrome underwent early coronary intervention. Anticoagulant and antithrombotic treatment was administered, including acetylsalicylic acid, clopidogrel, and heparin in periprocedural period. Severe back pain and rapidly progressing paraplegia developed in early period of follow-up. The patient underwent surgery immediately after diagnosis of spontaneous spinal epidural hematoma (SSEH) causing pressure, and decompression was performed. The patient rapidly improved without recurrence through early diagnosis and early surgical intervention. A common problem encountered by interventional cardiologists is back pain in patients who have undergone interventions in the femoral region and have lain in the same position for an extended period. Clinical onset of SSEH includes similar complaints, a fact of which cardiologists should be aware. Early diagnosis and early intervention may provide a good outcome, as is reported in the present case.

Keywords: Acute coronary syndrome, antiaggregants; anticoagulant; epidural hematoma

How to cite this article
Ferhat Özyurtlu, Nurullah Çetin, Nihat Pekel, Mehmet Emre Özpelit. Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome. Turk Kardiyol Dern Ars. 2016; 44(2): 158-160

Corresponding Author: Ferhat Özyurtlu, Türkiye
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