Citation

Prendergast N, Duanmu Y. Clin. Pract. Cases Emerg. Med. 2022; 6(3): 254-255.

Copyright

(Copyright © 2022, Department of Emergency Medicine, University of California, Irvine)

DOI

10.5811/cpcem2022.3.51179

PMID

36049194

Abstract

CASE PRESENTATION: An 85-year-old male who had been prescribed prasugrel presented to the emergency department (ED) after a motor vehicle collision and developed progressive neurological deficits. Computed tomography imaging demonstrated epidural thickening from the second through seventh cervical vertebrae, and magnetic resonance imaging was notable for a cervicothoracic epidural hematoma. The patient underwent emergent decompression with a favorable outcome.

DISCUSSION: Cases of traumatic spinal epidural hematomas are rarely seen in the ED. These are part of a small subset of operative neurological emergencies that benefit from urgent surgical intervention.

Language: en