Spontaneous spinal epidural haematoma mimicking acute coronary syndrome
Spontaneous spinal epidural haematoma mimicking acute coronary syndrome
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DOI：
10.3978/j.issn.2223-4292.2015.01.07
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发表时间：
2015-12-01
影响因子：
2.8
通讯作者：
Hoey, Edward T. D.
中科院分区：
文献类型：
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作者：
Mohammed, Noor;Shahid, Muhammad;Hoey, Edward T. D.
自发性脊髓硬膜外血肿（SSEH）是一种急性神经系统急症，除非及时诊断和治疗，否则会导致严重的并发症。一些SSEH病例是特发性的，但与凝血紊乱和凝血异常有关。近年来，新型抗血小板药物的使用越来越多，通常在疑似急性冠脉综合征（ACS）和经皮冠状动脉介入治疗后使用，这些药物也会增加SSEH的风险。我们提出一个病例SSEH后急性表现胸痛和治疗双重抗血小板治疗。
Spontaneous spinal epidural hematoma (SSEH) is an acute neurological emergency which carries significant morbidity unless diagnosed and treated in a timely fashion. Some cases of SSEH are idiopathic but there is a well-recognised association with deranged coagulation and abnormalities of clotting. In recent years there has been increasing availability of novel anti-platelet agents, often prescribed in the setting of suspected acute coronary syndromes (ACS) and following percutaneous coronary interventions and these agents also present an increased risk of SSEH. We present a case of SSEH following an acute presentation with chest pain and treatment with dual anti-platelet therapy.