Journal of

Case Reports and Images in Medicine

 
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Case Report
 
Spontaneous spinal epidural hematoma and acute paralysis secondary to aspirin 81 mg therapy: A case report
Justice Otchere1, Scott Russel Strum1, Christian Sarfo-Poku2
1MD, Loma Linda University Medical Center, Department of Physical Medicine and Rehabilitation.
2MPH, Loma Linda University, School of Medicine.

Article ID: 100022Z09JO2016
doi:10.5348/Z09-2016-22-CR-15

Address correspondence to:
Justice Otchere
Loma Linda University Medical Center
Department of Physical Medicine and Rehabilitation

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How to cite this article:
Otchere J, Strum SR, Sarfo-Poku C. Spontaneous spinal epidural hematoma and acute paralysis secondary to aspirin 81 mg therapy: A case report. J Case Rep Images Med 2016;2:62–66.


Abstract
Introduction: There are numerous conditions like arterial dissection, blood dyscrasias or coagulopathic disease, trauma, AVM and hematoma that can cause injury to the spinal cord leading to clinical presentation of paresis or plegia. However, there are not frequent reports of aspirin related spinal epidural hematoma. Spinal epidural hematoma is a rare etiology for acute paralysis.
Case Report: A 47-year-old male with past medical history of hypertension and herniated intervertebral disc who presented to the emergency department with acute onset of mid-axial back pain between his scapulae associated with acute right sided paresis and paresthesia on all extremities. The patient had been on aspirin 81 mg for cardioprotection. He was ruled out for common causes of spinal epidural hematoma. Magnetic resonance imaging (MRI) scan of the cervical spine with and without contrast revealed findings consistent with a right-sided posterolateral epidural hematoma extending from C3–C6.
Conclusion: The definite pathophysiology of the spinal epidural hematoma is not well established. However, this paper illustrates a case of acute paralysis due to aspirin 81 mg.

Keywords: Arteriovenous malformation, Coagulopathy, Plegia, Spinal cord injury


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Author Contributions
Justice Otchere – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Scott Russel Strum – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Christian Sarfo-Poku – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Justice Otchere et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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