Evolving Paralysis after Motor Vehicle Collision

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 v...

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Detalles Bibliográficos
Autores principales: Prendergast, Nicole, Duanmu, Youyou
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2022
Materias:
Images in Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436506/
https://www.ncbi.nlm.nih.gov/pubmed/36049194
http://dx.doi.org/10.5811/cpcem2022.3.51179
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author Prendergast, Nicole
Duanmu, Youyou
author_facet Prendergast, Nicole
Duanmu, Youyou
author_sort Prendergast, Nicole
collection PubMed
description 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.
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spelling pubmed-94365062022-09-02 Evolving Paralysis after Motor Vehicle Collision Prendergast, Nicole Duanmu, Youyou Clin Pract Cases Emerg Med Images in Emergency Medicine 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. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2022-07-27 /pmc/articles/PMC9436506/ /pubmed/36049194 http://dx.doi.org/10.5811/cpcem2022.3.51179 Text en © 2022 Prendergast et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Images in Emergency Medicine
Prendergast, Nicole
Duanmu, Youyou
Evolving Paralysis after Motor Vehicle Collision
title Evolving Paralysis after Motor Vehicle Collision
title_full Evolving Paralysis after Motor Vehicle Collision
title_fullStr Evolving Paralysis after Motor Vehicle Collision
title_full_unstemmed Evolving Paralysis after Motor Vehicle Collision
title_short Evolving Paralysis after Motor Vehicle Collision
title_sort evolving paralysis after motor vehicle collision
topic Images in Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436506/
https://www.ncbi.nlm.nih.gov/pubmed/36049194
http://dx.doi.org/10.5811/cpcem2022.3.51179
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