ArticleKorean circulation journal2011
Spontaneous spinal epidural hematomas associated with acute myocardial infarction treatment.
Article in Korean circulation journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Prognostic factors and surgical outcomes of spontaneous spinal epidural haematoma: a systematic review and meta-analysis.Neurosurgical review · 2022Pooled it
- Spontaneous Spinal Epidural Hematoma Under Rivaroxaban and Clopidogrel: A Case Report and Literature Review.Open access emergency medicine : OAEM · 2025Article
- Management of Antithrombotic Drugs before Elective Spine Surgery: A Nationwide Web-Based Questionnaire Survey in Japan.Spine surgery and related research · 2023Article
- Spontaneous cervical spinal epidural haematoma in a recent drug-eluting coronary stent recipient - A therapeutic challenge.Indian journal of anaesthesia · 2022Article
- Spontaneous spinal epidural hemorrhage following disseminated intravascular coagulation resulting in paraplegia: a case report.The journal of spinal cord medicine · 2019Article
- Spontaneous Spinal Haemorrhage as a Complication of Oral Anticoagulant Therapy: A Case Report and Literature Review.European journal of case reports in internal medicine · 2018Article
- When and if to stop low-dose aspirin before spine surgery?Surgical neurology international · 2018Article
- Idiopathic Thoracic Spontaneous Spinal Epidural Hematoma.Case reports in surgery · 2016Article
- Spontaneous spinal epidural haematoma mimicking acute coronary syndrome.Quantitative imaging in medicine and surgery · 2015Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Many studies have reported spontaneous spinal epidural hematoma (SSEH). Although most cases are idiopathic, several are associated with thrombolytic therapy or anticoagulants. We report a case of SSEH coincident with acute myocardial infarction (AMI), which caused serious neurological deficits. A 56 year old man presented with chest pain accompanied with back and neck pain, which was regarded as an atypical symptom of AMI. He was treated with nitroglycerin, aspirin, low molecular weight heparin, and clopidogrel. A spinal magnetic resonance image taken after paraplegia developed 3 days after the initial symptoms revealed an epidural hematoma at the cervical and thoracolumbar spine. Despite emergent decompressive surgery, paraplegia has not improved 7 months after surgery. A SSEH should be considered when patients complain of abrupt, strong, and non-traumatic back and neck pain, particularly if they have no spinal pain history.
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Registered trials
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