Spontaneous spinal epidural hematoma related to amphetamine abuse: A case report

BACKGROUND: Spontaneous spinal epidural hematoma (SSEH) is a rare condition that is typically associated with hypertension, the use of antithrombotic or sympathomimetic drugs. Here, we report a case of SSEH attributed to the use of amphetamines. CASE DESCRIPTION: A 27-year-old amphetamine user prese...

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Detalles Bibliográficos
Autores principales: Obaid, Sami, Elkaim, Lior M., Gariepy, Charles, Westwick, Harrison J., Yuh, Sung-Joo, Shedid, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8888191/
https://www.ncbi.nlm.nih.gov/pubmed/35242401
http://dx.doi.org/10.25259/SNI_1114_2021
Descripción
Sumario:BACKGROUND: Spontaneous spinal epidural hematoma (SSEH) is a rare condition that is typically associated with hypertension, the use of antithrombotic or sympathomimetic drugs. Here, we report a case of SSEH attributed to the use of amphetamines. CASE DESCRIPTION: A 27-year-old amphetamine user presented with the sudden onset of paraplegia (Frankel A) following amphetamine use. An MRI revealed C7–T2 spinal cord compression due to an epidural hematoma. Following a negative angiogram, the SSEH was removed, and the patient markedly recovered. Notably, by exclusion, the etiology for the SSEH was attributed to the use of amphetamines. CONCLUSION: Here, we demonstrate the case of a 27-year-old male who presented paraplegic due to an acute C7– T2 SSEH secondary to amphetamine abuse.

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