Acute Spontaneous Spinal Subdural Hematoma: A Case Report

Elmoheen, Amr; Bashir, Khalid

doi:10.12659/ajcr.922416

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…Particularly, SSDH represents approximately 4.1% of spinal hematoma cases [ 11 ]. Identified causes include coagulopathies, vascular malformations, trauma, procedures such as lumbar puncture and spine surgery [ 12 ], and even idiopathic in some cases [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Non-traumatic Spinal Subdural Hemorrhage Associated With Rivaroxaban Use

Navata,

Camara

2024

Cureus

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Spinal subdural hematoma (SSDH) is a rare medical emergency that can cause permanent neurological deficits. The disease is characterized by sudden onset back pain, sensorimotor changes, and bladder and autonomic dysfunction. This is often associated with the use of anticoagulants, blood dyscrasias, and recent spinal procedures. We present a case of a 63-year-old male maintained on rivaroxaban for nonvalvular atrial fibrillation clinically presenting with abrupt onset back pain that rapidly progressed to sensorimotor deficits and bladder dysfunction. Rivaroxaban, a selective inhibitor of factor Xa, has been approved by the Food and Drug Administration (FDA) for the reduction of stroke risk and systemic embolism in nonvalvular atrial fibrillation. We postulate that rivaroxaban played a major role in triggering the spinal hemorrhage. This case highlights the very limited documented cases of spontaneous subdural spinal hemorrhages associated with rivaroxaban use.

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Section: Discussionmentioning

confidence: 99%

Non-traumatic Spinal Subdural Hemorrhage Associated With Rivaroxaban Use

Navata,

Camara

2024

Cureus

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Spontaneous acute-onset conus medullaris or cauda equina syndrome: beware of spinal acute subdural hematoma

Beucler

2024

Neurosurg Rev

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An ischemic myelopathy case series: Flaccid paraplegia following a spike ball save and numbness while walking normally

et al. 2023

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Spinal cord infarctions in children are rare and early magnetic resonance imaging studies are often negative. A high clinical suspicion must be maintained to identify stroke and initiate workup for underlying etiology to suggest appropriate treatment. We present two cases of spinal cord infarction without major preceding trauma. The first was caused by disc herniation and external impingement of a radiculomedullary artery and the second was due to fibrocartilaginous embolism with classic imaging findings of ventral and dorsal cord infarctions, respectively. These cases were treated conservatively with diagnostic workup and aspirin, though additional treatments which can be considered with prompt diagnosis are also explored in our discussion. Both cases recovered the ability to ambulate independently within months. Case 1 is attending college and ambulates campus with a single-point cane. Case 2 ambulates independently, though has some difficulty with proprioception of the feet so uses wheelchairs for long-distance ambulation.

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Acute Spontaneous Spinal Subdural Hematoma: A Case Report

Cited by 3 publications

References 10 publications

Non-traumatic Spinal Subdural Hemorrhage Associated With Rivaroxaban Use

Non-traumatic Spinal Subdural Hemorrhage Associated With Rivaroxaban Use

Spontaneous acute-onset conus medullaris or cauda equina syndrome: beware of spinal acute subdural hematoma

An ischemic myelopathy case series: Flaccid paraplegia following a spike ball save and numbness while walking normally

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