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Journals / E Journal of Cardiovascular Medicine / 2018 / Cilt: 6 - Sayı: 4

Spontan Spinal Epidural Hematoma in a Patient Receiving Rivaroxaban After Atrial Fibrilation

Atilla KIRCELLI
İlker COVEN
Pages
153–156
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It is a relatively rare disorder.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:We present a case of 70 years whom was operated for cervical spinal stenosis and admitted to hospital 1 month after operation with palpitation.
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Key Findings & Data:Magnetic resonance imagings study revealed spinal compression at the level of C3-C6 associated with spontaneous spinal epidural hematoma (SSEH).
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Conclusion & Impact:It is a relatively rare disorder.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

We present a case of 70 years whom was operated for cervical spinal stenosis and admitted to hospital 1 month after operation with palpitation. Atrial fibrilation was diagnosed and started rivaroxaban. After six-day medication of rivaroxaban, the patient was admitted to the hospital with sudden onset cervical pain and tetraparesis. Magnetic resonance imagings study revealed spinal compression at the level of C3-C6 associated with spontaneous spinal epidural hematoma (SSEH). Emergent surgery was carried out and the hematoma was evacuated. The patient was discharged one week postoperatively with residual neurological sequel.The pathogenesis of SSEH is unclear, but anticoagulant therapy is a known risk factor. It is a relatively rare disorder.

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Cite This Article

KIRCELLI, A., COVEN, İ. (2018). Spontan Spinal Epidural Hematoma in a Patient Receiving Rivaroxaban After Atrial Fibrilation. E Journal of Cardiovascular Medicine, Cilt: 6 - Sayı: 4, 153–156. https://ajindex.com/articles/154348

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References (11)

  1. Holtås S, Heiling M, Lönntoft M. Spontaneous spinal epidural hematoma: findings at MR imaging and clinical correlation. Radiology 1996;199:409- 13. Foo D, Rossier AB. Preoperative neurological status in predicting surgical outcome of spinal epidural hematomas. Surg Neurol 1981;15:389-401.
  2. Groen RJ, Groenewegen HJ, van Alphen HA, Hoogland PV. Morphology of the human internal vertebral venous plexus: a cadaver study after intravenous Araldite CY 221 injection. Anat Rec 1997;249:285-94.
  3. Groen RJ, Ponssen H. The spontaneous spinal epidural hematoma: a study of the etiology. J Neurol Sci 1990;98:121-38.
  4. Horlocker TT, Wedel DJ. Neuraxial block and low-molecular-weight heparin: balancing perioperative analgesia and thromboprophylaxis. Reg Anesth Pain Med 1998;23(6 Suppl 2):164-77.
  5. Horlocker TT, Wedel DJ, Benzon H, et al. Regional anesthesia in the anticoagulated patient: defining the risks (the second ASRA Consensus Conference on Neuraxial Anesthesia and Anticoagulation). Reg Anesth Pain Med 2003;28:172-97.
  6. Flierl MA, Messina MJ, Mitchell JJ, Hogan C, D’Ambrosia R. Venous thromboembolism prophylaxis after total joint arthroplasty. Orthopedics 2015;38:252-63.
  7. Liew A, Eikelboom JW, O’Donnell M, Hart RG. Assessment of anticoagulation intensity and management of bleeding with old and new oral anticoagulants. Can J Cardiol 2013;29:(7 Suppl)34-44.
  8. Lowres N, Neubeck L, Salkeld G, et al. Feasibility and cost-effectiveness of stroke prevention through community screening for atrial fibrillation using iPhone ECG in pharmacies. The SEARCH-AF study. Thromb Haemost 2014;111:1167-76.
  9. Tawk C, El Haji Moussa M, Zgheib R, Nohra G. Spontaneous epidural hematoma of the spine associated with oral anticoagulants: 3 case studies. Int J Surg Case Rep 2015;13:8-11.
  10. Beatty RM, Winston KR. Spontaneous cervical epidural hematoma: a consideration of etiology. J Neurosurg 1984;61:143-8.
  11. Hori M, Matsumoto M, Tanahashi N, et al. Rivaroxaban vs. warfarin in Japanese patients with atrial fibrillation - the J-ROCKET AF study. Circ J 2012;76:2104-11.