title: Spontaneous spinal epidural haematoma mimicking acute coronary syndrome.
abstract: Spontaneous spinal epidural hematoma (SSEH) is an acute neurological emergency which carries significant morbidity unless diagnosed and treated in a timely fashion. Some cases of SSEH are idiopathic but there is a well-recognised association with deranged coagulation and abnormalities of clotting. In recent years there has been increasing availability of novel anti-platelet agents, often prescribed in the setting of suspected acute coronary syndromes (ACS) and following percutaneous coronary interventions and these agents also present an increased risk of SSEH. We present a case of SSEH following an acute presentation with chest pain and treatment with dual anti-platelet therapy.
authors.affiliation: 1 Department of Cardiology, 2 Department of Radiology, Heart of England NHS Trust, Birmingham B9 5SS, UK.
authors.forename: Noor
authors.initials: N
authors.lastname: Mohammed
authors.affiliation: 1 Department of Cardiology, 2 Department of Radiology, Heart of England NHS Trust, Birmingham B9 5SS, UK.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Shahid
authors.affiliation: 1 Department of Cardiology, 2 Department of Radiology, Heart of England NHS Trust, Birmingham B9 5SS, UK.
authors.forename: Munirul
authors.initials: M
authors.lastname: Haque
authors.affiliation: 1 Department of Cardiology, 2 Department of Radiology, Heart of England NHS Trust, Birmingham B9 5SS, UK.
authors.forename: Masood
authors.initials: M
authors.lastname: Qureshi
authors.affiliation: 1 Department of Cardiology, 2 Department of Radiology, Heart of England NHS Trust, Birmingham B9 5SS, UK.
authors.forename: Edward T D
authors.initials: ET
authors.lastname: Hoey
keywords: Spinal haematoma; magnetic resonance imaging (MRI); neurosurgery