Spinal chronic subdural hematoma in association with anticoagulant therapy: a case report and literature review.

Abstract:

STUDY DESIGN:A case of spinal chronic subdural hematoma (SCSDH) in association with anticoagulant therapy was treated surgically. OBJECTIVE:To clarify the etiopathogenesis, clinical presentation, and surgical outcomes of SCSDH. SUMMARY OF BACKGROUND DATA:Intracranial chronic subdural hematoma is a well-recognized complication of anticoagulant therapy. However, SCSDH is very rare and its etiopathogenesis is uncertain. METHODS:A 72-year-old man with SCSDH who had received anticoagulant therapy for atrial fibrillation complained of bilateral lower extremity pain, cramps, and gait disturbance. The patient underwent an operation for evacuation of the hematoma. RESULTS:Lower-extremity pain, cramps, and gait disturbance improved, and the patient was discharged 10 days after surgery. CONCLUSION:SCSDH should be included in the differential diagnosis of progressive spinal cord and nerve root compression in patients receiving anticoagulant therapy. Prompt diagnosis and early surgical decompression lead to a good outcome.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Jimbo H,Asamoto S,Mitsuyama T,Hatayama K,Iwasaki Y,Fukui Y

doi

10.1097/01.brs.0000202760.30257.88

keywords:

subject

Has Abstract

pub_date

2006-03-15 00:00:00

pages

E184-7

issue

6

eissn

0362-2436

issn

1528-1159

pii

00007632-200603150-00024

journal_volume

31

pub_type

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