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Spinal chronic subdural hematoma in association with anticoagulant therapy: a case report and literature review.
Spine (Phila Pa 1976). 2006 Mar 15; 31(6):E184-7.S

Abstract

STUDY DESIGN

A case of spinal chronic subdural hematoma (SCSDH) in association with anticoagulant therapy was treated surgically.

OBJECTIVE

To clarify the etiopathogenesis, clinical presentation, and surgical outcomes of SCSDH.

SUMMARY OF BACKGROUND DATA

Intracranial chronic subdural hematoma is a well-recognized complication of anticoagulant therapy. However, SCSDH is very rare and its etiopathogenesis is uncertain.

METHODS

A 72-year-old man with SCSDH who had received anticoagulant therapy for atrial fibrillation complained of bilateral lower extremity pain, cramps, and gait disturbance. The patient underwent an operation for evacuation of the hematoma.

RESULTS

Lower-extremity pain, cramps, and gait disturbance improved, and the patient was discharged 10 days after surgery.

CONCLUSION

SCSDH should be included in the differential diagnosis of progressive spinal cord and nerve root compression in patients receiving anticoagulant therapy. Prompt diagnosis and early surgical decompression lead to a good outcome.

Authors+Show Affiliations

Jimbo H
Department of Neurosurgery, International University of Health and Welfare, Mita Hospital, Tokyo, Japan. hjimbo3873@iuhw.ac.jp
Asamoto S
No affiliation info available
Mitsuyama T
No affiliation info available
Hatayama K
No affiliation info available
Iwasaki Y
No affiliation info available
Fukui Y
No affiliation info available

MeSH

AgedAnticoagulantsDiagnosis, DifferentialHematoma, Subdural, ChronicHematoma, Subdural, SpinalHumansMaleRadiographySpinal Cord Compression

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

16540860

Citation

Jimbo, Hiroyuki, et al. "Spinal Chronic Subdural Hematoma in Association With Anticoagulant Therapy: a Case Report and Literature Review." Spine, vol. 31, no. 6, 2006, pp. E184-7.
Jimbo H, Asamoto S, Mitsuyama T, et al. Spinal chronic subdural hematoma in association with anticoagulant therapy: a case report and literature review. Spine (Phila Pa 1976). 2006;31(6):E184-7.
Jimbo, H., Asamoto, S., Mitsuyama, T., Hatayama, K., Iwasaki, Y., & Fukui, Y. (2006). Spinal chronic subdural hematoma in association with anticoagulant therapy: a case report and literature review. Spine, 31(6), E184-7.
Jimbo H, et al. Spinal Chronic Subdural Hematoma in Association With Anticoagulant Therapy: a Case Report and Literature Review. Spine (Phila Pa 1976). 2006 Mar 15;31(6):E184-7. PubMed PMID: 16540860.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spinal chronic subdural hematoma in association with anticoagulant therapy: a case report and literature review. AU - Jimbo,Hiroyuki, AU - Asamoto,Shunji, AU - Mitsuyama,Tetsuryu, AU - Hatayama,Kazumi, AU - Iwasaki,Yasuo, AU - Fukui,Yasuyuki, PY - 2006/3/17/pubmed PY - 2006/8/4/medline PY - 2006/3/17/entrez SP - E184 EP - 7 JF - Spine JO - Spine (Phila Pa 1976) VL - 31 IS - 6 N2 - STUDY DESIGN: A case of spinal chronic subdural hematoma (SCSDH) in association with anticoagulant therapy was treated surgically. OBJECTIVE: To clarify the etiopathogenesis, clinical presentation, and surgical outcomes of SCSDH. SUMMARY OF BACKGROUND DATA: Intracranial chronic subdural hematoma is a well-recognized complication of anticoagulant therapy. However, SCSDH is very rare and its etiopathogenesis is uncertain. METHODS: A 72-year-old man with SCSDH who had received anticoagulant therapy for atrial fibrillation complained of bilateral lower extremity pain, cramps, and gait disturbance. The patient underwent an operation for evacuation of the hematoma. RESULTS: Lower-extremity pain, cramps, and gait disturbance improved, and the patient was discharged 10 days after surgery. CONCLUSION: SCSDH should be included in the differential diagnosis of progressive spinal cord and nerve root compression in patients receiving anticoagulant therapy. Prompt diagnosis and early surgical decompression lead to a good outcome. SN - 1528-1159 UR - https://www.unboundmedicine.com/medline/citation/16540860/Spinal_chronic_subdural_hematoma_in_association_with_anticoagulant_therapy:_a_case_report_and_literature_review_ DB - PRIME DP - Unbound Medicine ER -