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JOURNAL OF NEUROSURGICAL SCIENCES

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Journal of Neurosurgical Sciences 2004 March;48(1):43-7

language: English

Spinal epidural hematoma following coronary thrombolysis

Cultrera F., Passanisi M., Giliberto O., Giuffrida M., Mancuso P., Ventura F.

Division of Neurosurgery Cannizzaro Hospital, Catania, Italy


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A ­case of cer­vi­coth­o­rac­ic spontaneous spi­nal epi­du­ral hemat­o­ma (­SSEH) fol­low­ing cor­o­nary throm­bol­y­sis ­with r-TPA and intra­ve­nous hep­ar­in is report­ed. The clin­i­cal pic­ture is dis­cussed, as ­well as the impor­tance of rap­id neu­ro­ra­dio­log­i­cal diag­no­sis (­with spi­nal MRI ­being the meth­od of ­choice) and sur­gi­cal treat­ment. Anyway, in ­these ­patients, ­thorough car­diac func­tion eval­u­a­tion and rap­id cor­rec­tion of any clot­ting dis­or­der is nec­es­sary ­prior to sur­gery. With the increas­ing use of fibrin­o­lyt­ic ther­a­py ­this com­pli­ca­tion ­would be ­more fre­quent. This under­lines the impor­tance of ­prompt rec­og­ni­tion and ade­quate treat­ment.

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