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
Spineauthors
Jimbo H,Asamoto S,Mitsuyama T,Hatayama K,Iwasaki Y,Fukui Ydoi
10.1097/01.brs.0000202760.30257.88keywords:
subject
Has Abstractpub_date
2006-03-15 00:00:00pages
E184-7issue
6eissn
0362-2436issn
1528-1159pii
00007632-200603150-00024journal_volume
31pub_type
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