Turkish Journal of Physical Medicine and Rehabilitation 2020 , Vol 66 , Num 3
A spontaneous cervical spinal epidural hematoma in a male patient receiving treatment for acute coronary syndrome: A case report
Mustafa Çorum 1 ,İsmail Uysal 2 ,Abdulmecit Afşin 3 ,Cihan Aksoy 4
1 Department of Physical Medicine and Rehabilitation, Kahta State Hospital, Adıyaman, Turkey
2 Department of Neurosurgery, Kahta State Hospital, Adıyaman, Turkey
3 Department of Cardiology, Kahta State Hospital, Adıyaman, Turkey
4 Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
DOI : 10.5606/tftrd.2020.3971 Although spontaneous spinal epidural hematoma is a rare entity with an unknown origin, it may occur secondary to the use of anticoagulant and/or antiplatelet agents, which are particularly used for the treatment of cardiovascular and cerebrovascular diseases. Since it occurs rarely and its initial symptoms are usually non-specific, early and accurate diagnosis can be challenging which affects survival rate and the quality of life. Herein, we present a 65-year-old male case who developed acute severe neck pain and headache on the third day of acute coronary syndrome treatment, followed by neurological deficits in bilateral upper and lower extremities. Keywords : Anticoagulants, laminectomy, neck pain