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A Case of Acute Spinal Epidural Hematoma in a Patient with Antiplatelet Therapy Kazuhiko MISHIMA 1 , Koichi ARITAKE 1 , Akio MORITA 1 , Naohisa MIYAGAWA 1 , Hiromu SEGAWA 1 , Keiji SANO 1 1Department of Neurosurgery, Fuji Brain Institute & Hospital Keyword: Acute spinal epidural hematoma , Antiplatelet therapy , Infarction , Emermency laminectomy pp.849-853
Published Date 1989/9/10
DOI https://doi.org/10.11477/mf.1436202883
  • Abstract
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The authors report a case of acute spinal epidural hematoma occurring in a patient receiving antiplatelet drugs.

A 76-year-old man with a history of cerebral infarc-tion had been taking antiplatelet agents for one year. He suddenly developed severe back pain which woke him from sleep, and numbness of his lower extremities was then noted. He was hospitalized 15 hours later.

Neurological examination revealed flaccid paralysis of both lower extremities with negative Babinski's re-flex, and sensory disturbance below the level of L1. The bleeding time and prothrombin time were pro-longed.


Copyright © 1989, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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