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KMID : 0371620090240010063
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Journal of Wonkwang Medical Science
2009 Volume.24 No. 1 p.63 ~ p.65
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Spontaneous Intramuscular Hematoma Associated with Anticoagulation Treatment
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Kim Soo-Sung
Jo Jae-Hoon
Lee Hak-Seung
Park Hyun-Young
Chang Hyuk
Kim Yo-Sik
Cho Kwang-Ho
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Abstract
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Spontaneous intramuscular hematoma(SIH) is an uncommon but serious bleeding complication of anticoagulation therapy that has received little attention. We present a patient of spontaneous muscular hematoma during anticoagulation therapy for acute stroke management. A-74-year old man was admitted with sudden onset of dysarthria and left hemiparesis. Brain MRI and MRA showed acute cerebral infarction along right middle cerebral artery territory and severe stenosis of right proximal cervical internal carotid artery. During intravenous heparin treatment, he complained acute pain and swelling on left leg. Muscular CT showed enhancing focal soft tissue mass on left gastrocnemius muscle and ultrasonography demonstrated multiple hematomas on left gastrocnemius muscle. Treatment of heparin was stopped immediately. After conservative management for hematomas, symptoms were subsided.
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KEYWORD
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Muscular hematoma, Hemiparesis, Heparin, Muscular CT, Ultrasonography
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