Spinal Cord Compression Secondary to a Spontaneous Spinal Haematoma in a Patient Newly Treated with Rivaroxaban

Spinal Cord Compression Secondary to a Spontaneous Spinal Haematoma in a Patient Newly Treated with Rivaroxaban

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 c...

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Bibliographic Details
Main Authors: Javier Guerrero-Niño, Sara De Cesaris, Xavier Jannot, Noel Lorenzo Villalba
Format: Article
Language:English
Published: SMC MEDIA SRL 2021-05-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
rivaroxaban
major bleeding
complete flaccid paraplegia
anticoagulation
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/2593
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spelling doaj-24e646dc9a3f476eb16e043165ab767a2021-05-14T07:56:01ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942021-05-0110.12890/2021_0025932209Spinal Cord Compression Secondary to a Spontaneous Spinal Haematoma in a Patient Newly Treated with RivaroxabanJavier Guerrero-Niño0Sara De Cesaris1Xavier Jannot2Noel Lorenzo Villalba3Service des Urgences, Hôpitaux Universitaires de Strasbourg, Strasbourg, FranceService des Urgences, Hôpitaux Universitaires de Strasbourg, Strasbourg, FranceService de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, FranceService de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, FranceA 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.https://www.ejcrim.com/index.php/EJCRIM/article/view/2593rivaroxabanmajor bleedingcomplete flaccid paraplegiaanticoagulation
collection DOAJ
language English
format Article
sources DOAJ
author Javier Guerrero-Niño
Sara De Cesaris
Xavier Jannot
Noel Lorenzo Villalba
spellingShingle Javier Guerrero-Niño
Sara De Cesaris
Xavier Jannot
Noel Lorenzo Villalba
Spinal Cord Compression Secondary to a Spontaneous Spinal Haematoma in a Patient Newly Treated with Rivaroxaban
European Journal of Case Reports in Internal Medicine
rivaroxaban
major bleeding
complete flaccid paraplegia
anticoagulation
author_facet Javier Guerrero-Niño
Sara De Cesaris
Xavier Jannot
Noel Lorenzo Villalba
author_sort Javier Guerrero-Niño
title Spinal Cord Compression Secondary to a Spontaneous Spinal Haematoma in a Patient Newly Treated with Rivaroxaban
title_short Spinal Cord Compression Secondary to a Spontaneous Spinal Haematoma in a Patient Newly Treated with Rivaroxaban
title_full Spinal Cord Compression Secondary to a Spontaneous Spinal Haematoma in a Patient Newly Treated with Rivaroxaban
title_fullStr Spinal Cord Compression Secondary to a Spontaneous Spinal Haematoma in a Patient Newly Treated with Rivaroxaban
title_full_unstemmed Spinal Cord Compression Secondary to a Spontaneous Spinal Haematoma in a Patient Newly Treated with Rivaroxaban
title_sort spinal cord compression secondary to a spontaneous spinal haematoma in a patient newly treated with rivaroxaban
publisher SMC MEDIA SRL
series European Journal of Case Reports in Internal Medicine
issn 2284-2594
publishDate 2021-05-01
description 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.
topic rivaroxaban
major bleeding
complete flaccid paraplegia
anticoagulation
url https://www.ejcrim.com/index.php/EJCRIM/article/view/2593
work_keys_str_mv AT javierguerreronino spinalcordcompressionsecondarytoaspontaneousspinalhaematomainapatientnewlytreatedwithrivaroxaban
AT saradecesaris spinalcordcompressionsecondarytoaspontaneousspinalhaematomainapatientnewlytreatedwithrivaroxaban
AT xavierjannot spinalcordcompressionsecondarytoaspontaneousspinalhaematomainapatientnewlytreatedwithrivaroxaban
AT noellorenzovillalba spinalcordcompressionsecondarytoaspontaneousspinalhaematomainapatientnewlytreatedwithrivaroxaban
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