AI Summary & Key Takeaways
AI InsightIn this case, we describe the diagnostic and therapeutic approach towards acute intraspinal hematoma occurring as a complication of anticoagulant therapy.
📌 3 Key Takeaways
Abstract
Bleeding is a common complication in patients receiving anticoagulant therapy, and is mostly seen in the gastrointestinal tract. Intraspinal hematoma is a unique and dangerous complication of anticoagulant therapy. In our case, a 70 year - old male patient who had been using oral anticoagulants was admitted to the Emergency Department with nausea, neck pain and motor weakness in the right upper and lower extremities. His clinical findings resembled cerebral illness. Spontaneous spinal epidural hematoma (SEDH) was diagnosed as a result of cervical and thorachal magnetic resonance imaging. The patient received conservative treatment for a specific period of time and was discharged without any sequela. In this case, we describe the diagnostic and therapeutic approach towards acute intraspinal hematoma occurring as a complication of anticoagulant therapy.
Özet
Kanama antikoagulan tedavinin yaygın bir komplikasyonudur ve sıklıkla gastroeintestinal kanalda meydana gelir. Intraspinal hematom antikoagulan tedavinin nadir ve tehlikeli bir komplikasyonudur. Vakamızda; oral antikoagulan tedavi kullanan 70 yaşında erkek hasta acil servise bulantı, boyun ağrısı, sağ alt ve üst ekstremitelerde kuvvet kaybı şikayeti ile başvurdu. Servikal ve torakal manyetik rezonans inceleme sonucunda spontan spinal epidural hematom (SEDH) tanısı koyuldu. Hasta konservatif tedavi ile izlendi ve sekelsiz olarak taburcu edildi. Bu vaka sunumunda, antikoagulan tedavinin bir komplikasyonu olarak görülen akut intraspinal hematom vakasına tanı ve tedavi yaklaşımını sunduk.