Spinal Subdural Hematoma Associated with Anticoagulant Treatment for Acute Cerebral Infarct: A case report.
- Author:
Kyung Lim JOA
1
;
Han Young JUNG
;
Chang Hwan KIM
;
Yong Sik SHIN
;
Sang Hyun KIM
;
Jun Ho LEE
;
Myeong Ok KIM
Author Information
1. Department of Rehabilitation Medicine, Inha University College of Medicine, Korea. rmkmo@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Spinal subdural hematoma;
Anticoagulant;
Cerebral infarct
- MeSH:
Anesthesia, Spinal;
Anticoagulants;
Chronology as Topic;
Hematoma;
Hematoma, Subdural, Spinal;
Hemorrhage;
Humans;
Spinal Cord Compression;
Spinal Puncture;
Vascular Malformations;
Venous Thrombosis
- From:Journal of the Korean Academy of Rehabilitation Medicine
2008;32(6):730-733
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spinal subdural hematoma (SDH) is a rare cause of acute spinal cord compression. In most cases, these lesions are observed in association with lumbar puncture or spinal anesthesia, coagulation defect, or an underlying vascular malformation. The use of anticoagulant drug is recommended in managing deep vein thrombosis, acute myocardiac infarct, or acute cerebral infarct. But the risk of bleeding in major organs still exists and is increased by the use of multiple anticoagulants and the intensity of anticoagulation. The risk of spinal hematoma is increased in anticoagulated patients who undergo lumbar puncture or spinal anesthesia. But to dates, there are extremely rare cases of spontaneous spinal SDH occurring in patients with anticoagulant therapy when spinal instrumentation is not also being used. With reviewing some of literatures, we present a case of acute spontaneous spinal SDH developed whilereceiving anticoagulant therapy for treating acute cerebral infarct.
