Open AccessClopidogrel-induced Spontaneous Spinal Epidural Hematoma
Author(s) -
Jae Hoon Sung,
Jae Taek Hong,
Byung Chul Son,
Sang Won Lee
Publication year - 2007
Publication title -
journal of korean medical science/journal of korean medical science
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.743
H-Index - 66
eISSN - 1598-6357
pISSN - 1011-8934
DOI - 10.3346/jkms.2007.22.3.577
Subject(s) - clopidogrel , medicine , paraplegia , hematoma , surgery , anesthesia , aspirin , spinal cord , psychiatry
The hemorrhagic side effects associated with the use of clopidogrel are within the acceptable range and occur mainly at skin or gastrointestinal sites. We report a case of spontaneous spinal epidural hematoma (SSEH) in a 60-yr-old woman who was treated with clopidogrel for frequent transient ischemic attacks. To our knowledge, this is the second reported case of clopidogrel-induced SSEH. The patient's symptoms and past history of clopidogrel use suggested the diagnosis and made the procedure proceed quickly to operate SSEH 9 hr after the onset of paraplegia. The outcome was excellent. Therefore, with the popularity of antiplatelet prescription, physicians should keep in mind and urgently treat this unusual but critical side effect.