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KMID : 0858420120140030170
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Korean Journal of Stroke
2012 Volume.14 No. 3 p.170 ~ p.172
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Spontaneous Spinal Epidural Hematoma in a Patient on Cilostazol
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Baek Shin-Hye
Lee Hyung-Suk
Kang Jin-Hwi
Shin Jae-Won
Lee Hye-Lim
Kim In-Ha
Yang Se-Jin
Kim Ji-Seon
Shin Dong-Ick
Lee Sung-Hyun
Lee Sang-Soo
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Abstract
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Cilostazol is a phosphodiesterase inhibitor that has been shown to have similar efficacy in stroke prevention but fewer hemorrhagic events compared with aspirin. We report a case of spontaneous spinal epidural hematoma (SSEH) in a 67-year-old woman who has been treated with cilostazol for cerebral infarction. The patient was presented with sudden neck pain and right hemiparesis. Thirteen days after the onset, she recovered completely. Even cilostazol, which is a relatively safer drug in terms of bleeding risk compared to other antiplatelet agents, may cause SSEH. Therefore, physicians should keep in mind rare, but potentially fatal, bleeding complications such as SSEH when prescribing antiplatelet agents.
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KEYWORD
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Spontaneous spinal epidural hematoma, Cilostazol, Antiplatelet agents
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