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KMID : 0882420130840050718
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Korean Journal of Medicine
2013 Volume.84 No. 5 p.718 ~ p.722
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Spontaneous Spinal Epidural Hematoma Caused by Dual Antiplatelet Agent Therapy after Percutaneous Coronary Intervention
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Kim Sun-Woo
Yoo Ha-Na
Song Young-Jin
Han Dong-Hee
Kim Ji-Hyun
Choi Eun-Jeong
Lee Nam-ho
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Abstract
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Spontaneous spinal epidural hematomas (SSEH) are rare, accounting for less than 1% of all spinal epidural lesions. The potential causes include coagulopathies, antithrombotic drugs, hypertension, increased venous pressure, and vascular malformations. A SSEH causes severe neurological deficits unless treated in a timely manner. As the number of patients who are diagnosed with ischemic heart disease and treated using percutaneous coronary intervention (PCI) increases, the prescription of dual antiplatelet agents is also increasing. We report a case of SSEH caused by dual antiplatelet agent therapy in a patient who had undergone PCI.
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KEYWORD
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Hematoma, Epidural, Spinal, Aspirin, Clopidogrel
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