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 Martini Glasses 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 Swaybars hematomas are rarely seen in the ED.These are part of a small subset of operative neurological emergencies that benefit from urgent surgical intervention.