A Case of Suspected Spontaneous Spinal Epidural Hematoma with Acute Neck Pain After IV tPA Using in Acute Ischemic Stroke

Keimyung Medical Journal 2013;32(1):74-79.

급성뇌경색으로 IV tPA 치료 중 발생한 급성경부통증의 원인으로 의심되는 자발성척추경막외혈종 1례

김진영; 장혁원; 김창현; 손성일; 김성진; 이창영

Abstract

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 33 minutes after intravenous tissue plasminogen activator (IV tPection. 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.???

Key Words: Acute stroke, Epidural spinal hematoma, IV tPA