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

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.