Intracranial subdural hematomas with elevated rivaroxaban concentration and subsequently detected spinal subdural hematoma: A case report.

Abstract:

:A 79-year-old lean man with a height of 157cm and weight of 42kg (body mass index, 17.2kg/m(2)) receiving rivaroxaban developed an intracranial subdural hematoma and was treated conservatively. Because he had a reduced creatinine clearance of 44mL/min, his dosage of rivaroxaban was reduced from 15 to 10mg daily according to official Japanese prescribing information. However, he developed bilateral intracranial subdural hematomas 2weeks later. Plasma rivaroxaban concentration on anti-factor Xa chromogenic assay was elevated at 301ng/mL, suggesting excessive accumulation. He underwent burr hole drainage and resumed anticoagulation with warfarin. Subsequently, he developed a lumbosacral hematoma. He was treated conservatively and discharged without neurological sequelae. The main cause of the increased concentration of rivaroxaban was believed to be his older age and low body weight. The etiology of the spinal hematoma was suspected to be the migration of intracranial hematoma to the spinal subdural space.

journal_name

Thromb Res

journal_title

Thrombosis research

authors

Yamaguchi Y,Koga M,Matsuki T,Hino T,Yokota C,Toyoda K

doi

10.1016/j.thromres.2016.05.020

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

127-9

eissn

0049-3848

issn

1879-2472

pii

S0049-3848(16)30380-2

journal_volume

143

pub_type

信件
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    更新日期:2005-01-01 00:00:00

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    更新日期:1986-06-01 00:00:00

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    更新日期:2015-12-01 00:00:00

  • Excessive expressions of T cell activation markers in pediatric immune thrombocytopenia.

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    更新日期:1982-08-01 00:00:00

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    更新日期:1994-07-01 00:00:00

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    更新日期:2002-01-15 00:00:00

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    更新日期:2018-12-01 00:00:00