Spinal epidural hematoma after thrombolysis for deep vein thrombosis with subsequent pulmonary thromboembolism: a case report.
A 38-year-old male was initially admitted for left leg swelling. He was diagnosed as having deep vein thrombosis (DVT) in the left leg and a pulmonary thromboembolism by contrast-enhanced chest computed tomography (CT) with delayed lower extremity CT. The DVT was treated by thrombolysis and a venous stent. Four hours later, he complained of severe back pain and a sensation of separation of his body and lower extremities; he experienced paraplegia early in the morning of the following day. Magnetic resonance imaging showed a spinal epidural hematoma between T11 and L2, which decompressed following surgery. We, therefore, report a case of a spinal epidural hematoma after thrombolysis in a case of DVT with a pulmonary thromboembolism.
Han
Young-Min
YM
Department of Radiology, Chonbuk National University Medical School, Keumam Dong, Chonju, South Korea. ymhan@chonbuk.ac.kr
Kwak
Ho-Sung
HS
Jin
Gong-Young
GY
Chung
Gyung-Ho
GH
Song
Kyung-Jin
KJ
D000328:Adult; D003287:Contrast Media; D046748:Hematoma, Epidural, Spinal / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007866:Leg / Q000098:blood supply; D008279:Magnetic Resonance Imaging; D008297:Male; D010690:Phlebography; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000209:etiology*; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000150:complications* / Q000188:drug therapy*
D003287:Contrast Media