scholarly journals Spinal Subdural Hematoma in Association with Anticoagulant Therapy

1981 ◽  
Vol 8 (1) ◽  
pp. 87-89 ◽  
Author(s):  
Neville Russell ◽  
F.B. Maroun ◽  
J.C. Jacob
Keyword(s):  
Spinal Cord ◽  
Clinical Features ◽  
Anticoagulant Therapy ◽  
Spinal Cord Compression ◽  
Subdural Hematoma ◽  
Cord Compression ◽  
Ischemic Necrosis ◽  
Results Of Treatment ◽  
Spinal Subdural Hematoma

SUMMARYA case of spinal subdural hematoma occurring in association with anticoagulant therapy is reported. Seven similar cases from the literature are reviewed with emphasis on the clinical features, investigation, and the results of treatment. The prognosis for recovery is good, only if the condition is diagnosed and the clot evacuated before severe spinal cord compression and subsequent ischemic necrosis has occurred.

Spontaneous thoracic spinal subdural hematoma associated with fibromuscular dysplasia

2008 ◽  
Vol 8 (5) ◽  
pp. 478-481 ◽  
Author(s):  
Sang-Dae Kim ◽  
Je-On Park ◽  
Se-Hoon Kim ◽  
Young-Hen Lee ◽  
Dong-Jun Lim ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Anticoagulant Therapy ◽  
Spinal Cord Compression ◽  
Subdural Hematoma ◽  
Poor Prognosis ◽  
Fibromuscular Dysplasia ◽  
Cord Compression ◽  
Middle Aged ◽  
Thoracic Spinal ◽  
Spinal Subdural Hematoma

✓Spontaneous spinal subdural hematoma (SDH) is an uncommon cause of acute spinal cord compression. When it does occur, however, it may have disastrous results and a poor prognosis. The nontraumatic acute spinal SDH usually results from a defect in a hemostatic mechanism (such as coagulopathy or the use of anticoagulant therapy) or from iatrogenic causes (such as spinal puncture). Fibromuscular dysplasia (FMD) is a nonatherosclerotic systemic arteriopathy of unknown cause that typically affects the small and medium arteries in young to middle-aged women. The authors report on their experience with a patient with an acute spontaneous spinal SDH that occurred in conjunction with FMD.

Analysis of Clinical Features of Patients with Metastatic Spinal Cord Compression Caused by Prostate Cancer

2009 ◽  
Vol 50 (12) ◽  
pp. 1174
Author(s):  
Sungwoo Hong ◽  
Dalsan You ◽  
In Gab Jeong ◽  
Jun Hyuk Hong ◽  
Hanjong Ahn ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Spinal Cord ◽  
Clinical Features ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Metastatic Spinal Cord Compression

scholarly journals Spinal Tuberculosis (Pott's disease) Mimicking Paravertebral Malignant Tumor in a Child Presenting with Spinal Cord Compression

2012 ◽  
Vol 4 (02) ◽  
pp. 098-100 ◽  
Author(s):  
Suna Emir ◽  
Arzu Y Erdem ◽  
Hacı A Demir ◽  
Ayper Kaçar ◽  
Bahattin Tunç
Keyword(s):  
Spinal Cord ◽  
Clinical Features ◽  
Spinal Cord Compression ◽  
Malignant Tumor ◽  
Spinal Tuberculosis ◽  
Delayed Diagnosis ◽  
Cord Compression ◽  
Radiographic Features ◽  
Pott’S Disease ◽  
Clinical Conditions

ABSTRACTParavertebral tumors may interfere with the radiological and clinical features of spinal tuberculosis. We report a case of a 3-year-old boy with spinal tuberculosis who was initially misdiagnosed as having a paraspinal tumor. The diagnosis of tuberculosis was made on the basis of intraoperative findings and confirmed by histopathology. This case highlights the importance of awareness of the different radiographic features of spinal tuberculosis, which can mimic a spinal malignancy. In order to avoid delayed diagnosis, pediatricians and radiologists must be aware of spinal tuberculosis, which may interfere with other clinical conditions.

Acute spinal cord compression by subarachnoid and subdural hematoma occurring in association with brachial plexus avulsion

1980 ◽  
Vol 52 (3) ◽  
pp. 410-413 ◽  
Author(s):  
Neville A. Russell ◽  
Michael A. Mangan
Keyword(s):  
Spinal Cord ◽  
Brachial Plexus ◽  
Spinal Cord Compression ◽  
Subdural Hematoma ◽  
Cord Compression ◽  
Content Type ◽  
Brachial Plexus Avulsion ◽  
Fine Print

✓ The authors report a case of acute spinal còrd compression caused by a subarachnoid and subdural hematoma. This occurred following traumatic brachial plexus avulsion. It is believed to be the first such case recorded.

Diaphyseal aclasis with spinal cord compression

1996 ◽  
Vol 84 (3) ◽  
pp. 518-521 ◽  
Author(s):  
Emmanuel K. Labram ◽  
J. Mohan
Keyword(s):  
Spinal Cord ◽  
Clinical Features ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Long Bones ◽  
Review Of The Literature ◽  
Content Type ◽  
First Case ◽  
Fine Print

✓ In diaphyseal aclasis, the exostoses usually involve long bones, although occasionally the spine is also affected. Very few cases of osteochondroma causing spinal cord compression have been cited. The authors report their experience with two cases of diaphyseal aclasis. In the first case spinal cord compression caused by an exostosis of the lamina of C-2 occurred in a 9-year-old boy; in the second case a large osteochondroma of C-5 occurred in a 45-year-old man. Also included in this report is a review of the literature highlighting the incidence of diaphyseal aclasis, its clinical features and its excellent prognosis in treated cases.

Metastatic epidural spinal cord compression. Results of treatment and survival

Cancer ◽  
1990 ◽  
Vol 65 (7) ◽  
pp. 1502-1508 ◽  
Author(s):  
Per Soelberg Sørensen ◽  
Svend Erik Børgesen ◽  
Karen Rohde ◽  
Bente Rasmusson ◽  
Flemming Bach ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Results Of Treatment

scholarly journals Acute spinal cord compression due to spinal subdural hematoma after spinal anaesthesia in-patient under anticoagulant drug

2021 ◽  
Vol 36 (1) ◽  
Author(s):  
Moussa Denou ◽  
Nourou Dine Adeniran Bankole ◽  
Mustapha Hamama ◽  
Nizare El Fatemi ◽  
Moulay Rachid El Maaqili
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Spinal Anaesthesia ◽  
Rare Condition ◽  
Cord Compression ◽  
Good Prognosis ◽  
Conus Medullaris ◽  
Immediate Recovery ◽  
Spinal Subdural Hematoma ◽  
Anticoagulant Drug

Abstract Background Subdural spinal cord hematomas are very rare condition. They most often occur in patients with primary or secondary blood haemostasis disorders and following lumbar punctures. Early diagnosis and management preserve functional prognosis. Case description We report the case of a female 69-year-old patient on oral anticoagulant, Acenocoumarol 4 mg (SINTROM) for previous aortic prosthesis. The patient had undergone surgery for appendicitis under spinal anaesthesia 2 days before her admission in neurosurgery department. She was admitted in emergency for 1/5 central flaccid paraplegia with sensitive umbilical level. A spinal MRI performed showed a collection intradural in intermediate signal in T1 and hyposignal in T2 with echo gradient of 8 mm thickness extended from D8 to L2 compressing the marrow with anomalies of intramedullary signal extended from D8 to the conus medullaris. We retained indication to operate the patient early in emergency because of acute spinal cord compression. We performed T12-L2 laminectomy, durotomy and evacuated hematoma. Postoperative marked by an immediate recovery of sensitivity and an onset of motor recovery from 1/5 to 2/5 and 4/5 follow up at on year with physiotherapy. Conclusion Spinal cord compression due to subdural spinal hematomas not often described especially in patients with haemostasis blood disorders due to anticoagulants drugs. In addition, we should pay attention with lumbar puncture in these patients. Emergency surgery allows a good prognosis about recovery of neurological disorders.

Spontaneous Spinal Subdural Hematoma: Case Study

2010 ◽  
Vol 19 (2) ◽  
pp. 191-193 ◽  
Author(s):  
Rebecca Anne Dampeer
Keyword(s):  
Spinal Cord ◽  
Subdural Hematoma ◽  
Cord Compression ◽  
Radicular Pain ◽  
Subdural Hematomas ◽  
Cord Injury ◽  
Spinal Subdural Hematoma ◽  
Acute Paraplegia ◽  
Autonomic Disturbances

Spinal cord hematomas are remarkably uncommon. Even more rare are spontaneous spinal subdural hematomas without underlying pathological changes. In some patients, compression of the spinal cord by spinal subdural hematoma has led to acute paraplegia. Spontaneous spinal subdural hematomas occur most often in the thoracic spine and are manifested by sudden back pain that radiates to the upper or lower extremities or to the trunk and variable degrees of motor, sensory, and autonomic disturbances. Clinicians should consider spontaneous spinal subdural hematoma when patients who are taking anticoagulants report back or radicular pain and the development of paraparesis, because early diagnosis is essential for preventing irreversible paralysis. Diagnosis of spontaneous spinal subdural hematoma requires prompt radiological assessment; magnetic resonance imaging is the preferred method. Treatment includes emergent decompressive laminectomy and evacuation of the hematoma to prevent or minimize permanent neurological damage caused by spinal cord compression, ischemia, and spinal cord injury.

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