Guerrero-Niño, Javier and De Cesaris, Sara and Jannot, Xavier and Lorenzo-Villalba, Noel (2021) Spinal Cord Compression Secondary to a Spontaneous Spinal Haematoma in a Patient Newly Treated with Rivaroxaban. European Journal of Case Reports in Internal Medicine, 8 (5). pp. 1-3. ISSN ISSN: 2284-2594
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Abstract
A 74-year-old patient anticoagulated with rivaroxaban for chronic atrial fibrillation presented to the emergency department with acute lumbar pain with progressive weakness of the lower limbs and inability to stand up. No previous trauma was reported. Neurological examination was consistent with a complete spinal cord syndrome at the level of T6. Magnetic resonance imaging showed the presence of spinal cord compression associated with signs of extensive intramedullary inflammation secondary to a haematoma. The patient underwent thoracic laminectomy with evacuation of an intradural haematoma. No intraoperative complications were described, but no clinical improvement had been achieved 15 days after the surgical intervention.
| Item Type: | Article |
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| Uncontrolled Keywords: | Rivaroxaban, major bleeding, complete flaccid paraplegia, anticoagulation |
| Subjects: | 600 Tecnologia - Scienze applicate 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 19 Jan 2022 17:02 |
| Last Modified: | 19 Jan 2022 17:02 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/21251 |
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