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Arch Neurol. 1996 Aug;53(8):819-21.

Spontaneous spinal epidural hematoma. Another neurologic complication of cocaine?

Author information

  • 1Department of Neurology, New York Medical College-Metropolitan Hospital Center, New York, USA.

Abstract

OBJECTIVES:

To describe a patient with a spontaneous spinal epidural hematoma associated with cocaine use and to present issues related to pathogenesis and management of this potential complication.

DESIGN:

Case report.

SETTING:

Municipal hospital.

CASE:

A spontaneous spinal epidural hematoma developed at the thoracic level in a 62-year-old man in association with cocaine use. Clinical, laboratory, and radiologic data are presented.

MAIN OUTCOME AND RESULTS:

The patient was treated medically with intravenous and oral dexamethasone sodium phosphate. His neurologic status gradually improved during a 12-day hospitalization.

CONCLUSION:

Cocaine use should be considered in the evaluation of spontaneous spinal epidural hemorrhage.

PMID:
8759990
[PubMed - indexed for MEDLINE]
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