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Case Reports
. 2015 Jul 22:2015:bcr2015209952.
doi: 10.1136/bcr-2015-209952.

Acute spinal cord compression: a rare complication of dual antiplatelet therapy

Muhammad Zaid Iskandar  1 , Victor Chong  1 , Stuart Hutcheon  1
Affiliations
Case Reports

Acute spinal cord compression: a rare complication of dual antiplatelet therapy

Muhammad Zaid Iskandar et al. BMJ Case Rep. .

Abstract

A 73-year-old woman presented with acute shortness of breath and exacerbation of chronic back pain. She was diagnosed with pulmonary oedema and a non-ST-elevation myocardial infarction following chest X-ray, ECG and high sensitivity troponin levels. She subsequently underwent coronary angioplasty with deployment of drug-eluting stents to her circumflex and left anterior descending arteries and was started on aspirin and clopidogrel for her dual antiplatelet therapy. Unfortunately, following the procedure, she gradually lost power and sensation in both lower limbs. MRI of her spine confirmed an extradural haematoma causing thoracic cord compression. She was managed conservatively following discussions with neurosurgeons and developed further complications secondary to her immobility.

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Figures

Figure 1
Figure 1
Extradural haematoma (arrow) causing thoracic cord compression at the levels of D10/11 and D11/12.
See this image and copyright information in PMC

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