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Chronic Spinal Subdural Hematoma Associated with Antiplatelet Therapy.
World Neurosurg. 2017 Sep; 105:1032.e1-1032.e5.WN

Abstract

BACKGROUND

Spinal subdural hematoma is a rare clinical entity marked by the onset of pain and paralysis, which is usually associated with hemorrhagic disorders, trauma, and iatrogenic causes such as lumbar puncture or epidural anesthesia.

CASE DESCRIPTION

A 71-year-old man was admitted to our hospital with 2 weeks' history of bilateral lower leg pain, dysesthesia, paraparesis, and urinary disturbance. Magnetic resonance imaging showed characteristic findings at the thoracolumbar spine, and surgical evacuation successfully treated this condition. The postoperative course was uneventful. The patient gradually recovered from paraparesis and was discharged 4 weeks after operation.

CONCLUSIONS

We report an extremely rare case of chronic spinal subdural hematoma associated with antiplatelet therapy. Spinal subdural hematoma should be considered as the differential diagnosis of gait disturbance in patients undergoing antiplatelet therapy. Early diagnosis and identification of the extent of the hematoma are necessary for successful treatment.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Akiyama Y
Department of Neurosurgery, Sapporo Medical University, Sapporo, Japan. Electronic address: akiyuki@sapmed.ac.jp.
Koyanagi I
Department of Neurosurgery, Sapporo Medical University, Sapporo, Japan.
Mikuni N
Department of Neurosurgery, Sapporo Medical University, Sapporo, Japan.

MeSH

AgedChronic DiseaseHematoma, Subdural, SpinalHumansMagnetic Resonance ImagingMalePlatelet Aggregation Inhibitors

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27923756

Citation

Akiyama, Yukinori, et al. "Chronic Spinal Subdural Hematoma Associated With Antiplatelet Therapy." World Neurosurgery, vol. 105, 2017, pp. 1032.e1-1032.e5.
Akiyama Y, Koyanagi I, Mikuni N. Chronic Spinal Subdural Hematoma Associated with Antiplatelet Therapy. World Neurosurg. 2017;105:1032.e1-1032.e5.
Akiyama, Y., Koyanagi, I., & Mikuni, N. (2017). Chronic Spinal Subdural Hematoma Associated with Antiplatelet Therapy. World Neurosurgery, 105, e1-e5. https://doi.org/10.1016/j.wneu.2016.11.128
Akiyama Y, Koyanagi I, Mikuni N. Chronic Spinal Subdural Hematoma Associated With Antiplatelet Therapy. World Neurosurg. 2017;105:1032.e1-1032.e5. PubMed PMID: 27923756.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronic Spinal Subdural Hematoma Associated with Antiplatelet Therapy. AU - Akiyama,Yukinori, AU - Koyanagi,Izumi, AU - Mikuni,Nobuhiro, Y1 - 2016/12/03/ PY - 2016/07/07/received PY - 2016/11/23/revised PY - 2016/11/24/accepted PY - 2016/12/8/pubmed PY - 2017/10/5/medline PY - 2016/12/8/entrez KW - Antiplatelet therapy KW - Chronic spinal subdural hematoma KW - Magnetic resonance imaging SP - 1032.e1 EP - 1032.e5 JF - World neurosurgery JO - World Neurosurg VL - 105 N2 - BACKGROUND: Spinal subdural hematoma is a rare clinical entity marked by the onset of pain and paralysis, which is usually associated with hemorrhagic disorders, trauma, and iatrogenic causes such as lumbar puncture or epidural anesthesia. CASE DESCRIPTION: A 71-year-old man was admitted to our hospital with 2 weeks' history of bilateral lower leg pain, dysesthesia, paraparesis, and urinary disturbance. Magnetic resonance imaging showed characteristic findings at the thoracolumbar spine, and surgical evacuation successfully treated this condition. The postoperative course was uneventful. The patient gradually recovered from paraparesis and was discharged 4 weeks after operation. CONCLUSIONS: We report an extremely rare case of chronic spinal subdural hematoma associated with antiplatelet therapy. Spinal subdural hematoma should be considered as the differential diagnosis of gait disturbance in patients undergoing antiplatelet therapy. Early diagnosis and identification of the extent of the hematoma are necessary for successful treatment. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/27923756/Chronic_Spinal_Subdural_Hematoma_Associated_with_Antiplatelet_Therapy_ DB - PRIME DP - Unbound Medicine ER -