Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome
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 prog...
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Format: | Article |
Language: | English |
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KARE Publishing
2016-04-01
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Series: | Türk Kardiyoloji Derneği Arşivi |
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Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-68957 |
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author | Ferhat Özyurtlu Nurullah Çetin Nihat Pekel Mehmet Emre Özpelit |
author_facet | Ferhat Özyurtlu Nurullah Çetin Nihat Pekel Mehmet Emre Özpelit |
author_sort | Ferhat Özyurtlu |
collection | DOAJ |
description | 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. |
first_indexed | 2024-04-10T14:06:54Z |
format | Article |
id | doaj.art-bbb7f64cb85948e196ce2ef29b91da0c |
institution | Directory Open Access Journal |
issn | 1016-5169 |
language | English |
last_indexed | 2024-04-10T14:06:54Z |
publishDate | 2016-04-01 |
publisher | KARE Publishing |
record_format | Article |
series | Türk Kardiyoloji Derneği Arşivi |
spelling | doaj.art-bbb7f64cb85948e196ce2ef29b91da0c2023-02-15T16:09:56ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692016-04-0144215816010.5543/tkda.2015.68957TKDA-68957Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcomeFerhat Özyurtlu0Nurullah Çetin1Nihat Pekel2Mehmet Emre Özpelit3Department of Cardiology, Special Grand Medical Hospital, Manisa, TurkeyDepartment of Cardiology, Karsiyaka State Hospital, Izmir, TurkeyDepartment of Cardiology, İzmir University Faculty of Medicine, Izmir, TurkeyDepartment of Cardiology, İzmir University Faculty of Medicine, Izmir, TurkeyA 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.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-68957acute coronary syndromeantiaggregants; anticoagulant; epidural hematoma |
spellingShingle | 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 Türk Kardiyoloji Derneği Arşivi acute coronary syndrome antiaggregants; anticoagulant; epidural hematoma |
title | Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome |
title_full | Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome |
title_fullStr | Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome |
title_full_unstemmed | Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome |
title_short | Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome |
title_sort | spontaneous spinal epidural hematoma developing after percutaneous coronary intervention early diagnosis early intervention and good outcome |
topic | acute coronary syndrome antiaggregants; anticoagulant; epidural hematoma |
url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-68957 |
work_keys_str_mv | AT ferhatozyurtlu spontaneousspinalepiduralhematomadevelopingafterpercutaneouscoronaryinterventionearlydiagnosisearlyinterventionandgoodoutcome AT nurullahcetin spontaneousspinalepiduralhematomadevelopingafterpercutaneouscoronaryinterventionearlydiagnosisearlyinterventionandgoodoutcome AT nihatpekel spontaneousspinalepiduralhematomadevelopingafterpercutaneouscoronaryinterventionearlydiagnosisearlyinterventionandgoodoutcome AT mehmetemreozpelit spontaneousspinalepiduralhematomadevelopingafterpercutaneouscoronaryinterventionearlydiagnosisearlyinterventionandgoodoutcome |