Massive Acute Spinal Subdural Hematoma Causing Sudden Onset Paraplegia in a Patient on Anticoagulation
Joint Authors
Lewis, Courtney
Kosarchuk, Jacob
Pham, Martin H.
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-16
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Spinal subdural hematoma (SSDH) is a rare but known entity that can cause severe and irreversible motor, sensory, and autonomic dysfunction if not decompressed in a timely manner.
We present here a 74-year-old female on anticoagulation who developed sudden onset back pain with rapidly progressive paraplegia.
On neurologic exam, she was completely flaccid in the bilateral lower extremities with absent sensation from the umbilicus down.
Imaging demonstrated a massive extra-axial spinal hematoma from T12 to S1 that initially was believed to be epidural in origin.
She was taken emergently to the operating room for a T11-L5 decompressive laminectomy, and dural opening demonstrated a thick subdural clot encasing the conus and cauda equina confirming the subdural pathology.
Despite decompression and partial evacuation of the subdural hematoma, she did not recover neurologic function.
American Psychological Association (APA)
Kosarchuk, Jacob& Lewis, Courtney& Pham, Martin H.. 2020. Massive Acute Spinal Subdural Hematoma Causing Sudden Onset Paraplegia in a Patient on Anticoagulation. Case Reports in Surgery،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1151626
Modern Language Association (MLA)
Kosarchuk, Jacob…[et al.]. Massive Acute Spinal Subdural Hematoma Causing Sudden Onset Paraplegia in a Patient on Anticoagulation. Case Reports in Surgery No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1151626
American Medical Association (AMA)
Kosarchuk, Jacob& Lewis, Courtney& Pham, Martin H.. Massive Acute Spinal Subdural Hematoma Causing Sudden Onset Paraplegia in a Patient on Anticoagulation. Case Reports in Surgery. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1151626
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1151626