introduction spontaneous spinal epidural hematoma (sseh) is an uncommon but potentially fatal condition. the increased bleeding tendency associated with anticoagulant medications has been proven to increase the risk of sseh. the symptoms of sseh usually begin with sudden severe neck or back pain and are followed by neurological deficits. however, some cases present with only axial pain or with ...

intraluminal small bowel hematoma has been rarely reported in children, as a rare cause of small bowel obstruction. we present a case of an intraluminal ileal hematoma presenting as small bowel obstruction in a child. computed tomography (ct) indicated a large intraluminal hyperdense lesion in the distal ileum as the cause of small bowel obstruction. abdominal ultrasonography (us) showed an ech...

A 60-year-old male with a recent anterior myocardial infarction (MI) was referred to our hospital for implantable cardioverter defibrillator (ICD) implantation. He was on the 42nd day of MI and clinically stable on admission. Electrocardiography showed right bundle branch block with QS pattern on anterior leads. Transthoracic echocardiographic examination revealed an ejection fraction of 25% wi...

injury when large doses of heparin are used. There are, however, many potential advantages of epidural and spinal anesthesia and analgesia in cardiac surgery. There is evidence to support improved hemodynamic stability,1–4 intense analgesia,4–8 early tracheal extubation,5,6,9 improved pulmonary function,5,6 enhanced coronary perfusion,9–12 decreased ischemia, improved ventricular function, and ...

reversible encephalopathy syndrome: prognostic utility of quantitative diffusion-weighted MR images. AJNR Am J Neuroradiol 2002; 23: 1038–1048. 4. Hsieh CT, Chiang YH, Tang CT, Sun JM, Ju DT. Delayed traumatic thoracic spinal epidural hematoma: a case report and literature review. Am J Emerg Med 2007; 25: 69–71. 5. Chang FC, Lirng JF, Luo CB et al. Evaluation of clinical and MR findings for the...

PURPOSE OF REVIEW Antithrombotic drugs are known to increase the risk of spinal epidural hematoma after neuraxial blockade. During the last few years, several new anticoagulants have been introduced, some of them more potent than the drugs currently available. More potency, however, may also indicate a higher risk of bleeding. RECENT FINDINGS Case series from the last few years indicate that ...