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An acute spinal epidural hematoma after acupuncture combined with dyspnea, dysarthria, bradycardia and hypothermia—a case report

  • Yunhyung Choi1
  • Yoon Hee Choi1,*,

1Department of Emergency Medicine, Ewha Womans University Medical Center, Ewha Womans University, 17985 Seoul, Republic of Korea

DOI: 10.22514/sv.2024.020 Vol.20,Issue 2,February 2024 pp.102-104

Submitted: 03 January 2023 Accepted: 14 March 2023

Published: 08 February 2024

*Corresponding Author(s): Yoon Hee Choi E-mail:


Spinal epidural hemorrhage (EDH) after acupuncture is a rare disease and needs to be differentiated from stroke because it presents neurological deficits such as motor weakness. A 48-year-old patient taking anticoagulants developed posterior neck pain and progressive quadriplegia immediately after acupuncture. Upon arrival to the emergency room (ER), he complained of dyspnea, dysarthria, bradycardia, and hypothermia. Diffuse spinal EDH findings on spinal magnetic resonance imaging (MRI) were confirmed, and posterior decompression was performed emergently. The patient is currently recovering. Since dyspnea, dysarthria, bradycardia, and hypothermia complained of by this patient are not common symptoms of spinal cord injury, emergency medicine doctors should be careful not to miss the spinal cord injury through detailed history-taking and additional neurologic exam.


Spinal epidural hemorrhage; Spinal epidural hematoma; Dyspnea; Sysarthria; Bradycardia; Hypothermia; Acupuncture

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Yunhyung Choi,Yoon Hee Choi. An acute spinal epidural hematoma after acupuncture combined with dyspnea, dysarthria, bradycardia and hypothermia—a case report. SignaVitae. 2024. 20(2);102-104.


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