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KMID : 0980720130320010074
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Keimyung Medical Journal
2013 Volume.32 No. 1 p.74 ~ p.79
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A Case of Suspected Spontaneous Spinal Epidural Hematoma with Acute Neck Pain After IV tPA Using in Acute Ischemic Stroke
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Kim Jin-Young
Chang Hyuk-Won
Kim Chang-Hyun
Sohn Sung-Il
Kim Sung-Jin
Lee Chang-Young
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Abstract
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Spinal epidural hematoma is rare disease and usually presents with acute, severe pain at the location of the hematoma. A 63 year old man with acute ischemic stroke complained acute neck pain 30 minutes after intravenous tissue plasminogen activator (IV tPA) injection. Patient had undertaken the neck MRI and the findings suggested subacute spinal epidural hematoma. There has been only 2 cases reported about spinal epidural hematoma after IV tPA in acute stroke patient. Spontaneous spinal epidural hematoma (SSEH) is also rare disease but higher incidence than previous reported case. So we should differential diagnosis of these diseases. In clinically we assessed as SSEH with acute neck pain after IV tPA use in acute ischemic stroke.
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KEYWORD
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Acute stroke, Epidural spinal hematoma, IV tPA
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