Spontaneous Epidural Hematoma: A rare neurological complication in a patient following routine coronary angiography

Authors

  • Smriti Shakya Manmohan Cardiothoracic Vascular and Transplant Centre (MCVTC), Institute of Medicine, TUTH https://orcid.org/0000-0001-5459-5212
  • Ratna Mani Gajurel Manmohan Cardiothoracic Vascular and Transplant Centre (MCVTC), Institute of Medicine, TUTH
  • Chandra Mani Poudel Manmohan Cardiothoracic Vascular and Transplant Centre (MCVTC), Institute of Medicine, TUTH
  • Hemant Shrestha Manmohan Cardiothoracic Vascular and Transplant Centre (MCVTC), Institute of Medicine, TUTH
  • Surya Devkota Manmohan Cardiothoracic Vascular and Transplant Centre (MCVTC), Institute of Medicine, TUTH
  • Sanjeev Thapa Manmohan Cardiothoracic Vascular and Transplant Centre (MCVTC), Institute of Medicine, TUTH
  • Bhawani Manandhar Manmohan Cardiothoracic Vascular and Transplant Centre (MCVTC), Institute of Medicine, TUTH
  • Rajaram Khanal Manmohan Cardiothoracic Vascular and Transplant Centre (MCVTC), Institute of Medicine, TUTH
  • Sutap Yadav Manmohan Cardiothoracic Vascular and Transplant Centre (MCVTC), Institute of Medicine, TUTH
  • Ashmita KC Manmohan Cardiothoracic Vascular and Transplant Centre (MCVTC), Institute of Medicine, TUTH

DOI:

https://doi.org/10.3126/nhj.v20i2.59484

Keywords:

coronary angiography, neurological complication, Spinal epidural hematoma

Abstract

Spinal epidural hematoma is an uncommon but potentially devastating complication associated with various medical interventions. We present a case report of this rare neurological complication following a routine coronary angiography. A 69-year-old male with Aortic Stenosis presented for a scheduled coronary angiography to assess his cardiac status before valve replacement. The procedure was uneventful but approximately 15 minutes after the angiography, he developed sudden-onset of rapidly progressing weakness and numbness in bilateral lower extremities. An urgent neurologic evaluation revealed signs of spinal cord compression, prompting a magnetic resonance imaging (MRI) scan which showed an extensive spinal epidural hematoma spanning multiple levels within the cervicothoracic spine. This case highlights the importance of recognizing this rare but a potential complication following routine coronary angiography even in the absence of signifcant procedural complications. Timely diagnosis and prompt surgical intervention are crucial for achieving favorable outcomes and minimizing morbidity associated with this condition.

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Published

2023-11-05

How to Cite

Shakya, S., Gajurel, R. M., Poudel, C. M., Shrestha, H., Devkota, S., Thapa, S., Manandhar, B., Khanal, R., Yadav, S., & KC, A. (2023). Spontaneous Epidural Hematoma: A rare neurological complication in a patient following routine coronary angiography. Nepalese Heart Journal, 20(2), 55–57. https://doi.org/10.3126/nhj.v20i2.59484

Issue

Section

Case Reports