Acute Spontaneous Spinal Subdural Hematoma: A Case Report

Elmoheen, Amr; Bashir, Khalid

doi:10.12659/ajcr.922416

Cited by 3 publications

(1 citation statement)

References 10 publications

(10 reference statements)

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“…Particularly, SSDH represents approximately 4.1% of spinal hematoma cases [ 11 ]. Identified causes include coagulopathies, vascular malformations, trauma, procedures such as lumbar puncture and spine surgery [ 12 ], and even idiopathic in some cases [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Non-traumatic Spinal Subdural Hemorrhage Associated With Rivaroxaban Use

Navata,

Camara

2024

Cureus

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Spinal subdural hematoma (SSDH) is a rare medical emergency that can cause permanent neurological deficits. The disease is characterized by sudden onset back pain, sensorimotor changes, and bladder and autonomic dysfunction. This is often associated with the use of anticoagulants, blood dyscrasias, and recent spinal procedures. We present a case of a 63-year-old male maintained on rivaroxaban for nonvalvular atrial fibrillation clinically presenting with abrupt onset back pain that rapidly progressed to sensorimotor deficits and bladder dysfunction. Rivaroxaban, a selective inhibitor of factor Xa, has been approved by the Food and Drug Administration (FDA) for the reduction of stroke risk and systemic embolism in nonvalvular atrial fibrillation. We postulate that rivaroxaban played a major role in triggering the spinal hemorrhage. This case highlights the very limited documented cases of spontaneous subdural spinal hemorrhages associated with rivaroxaban use.

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Section: Discussionmentioning

confidence: 99%