Spinal epidural hematoma due to anticoagulant
therapy: a case report and literature review

Htwe, Ohnmar; Naicker, Amaramalar Selvi; Pei, Tan Sook

doi:10.29333/ejgm/81908

Cited by 4 publications

(3 citation statements)

References 5 publications

(8 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some authors attribute the bleed to the venous epidural plexus that is located mainly at the dorsal aspect (3). This plexus is prone to the undulating thoracic and abdominal pressure thus any sudden increase may cause rupture (9). Other than that, the dorsal epidural space is filled with fatty tissue and is more readily displace compared to the anterior epidural space making it easier to spread to multiple levels (3).…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Spinal Epidural Hematoma due to Anticoagulant Therapy: A Case Report and Literature Review

Safian

Htwe²,

Sridharan

et al. 2020

Electron J Gen Med

View full text Add to dashboard Cite

We report a case of spontaneous spinal epidural hematoma (SSEH) that occurred in a patient on lifelong warfarin following liver transplant due to decompensated liver failure secondary to primary Budd-Chiari syndrome. Patients and Methods: Our patient presented with acute central back pain with bilateral lower limb paralysis and incontinence with neurological level of T8 American Spinal Injury Association Impairment Scale (AIS) A. There were no history of fever, trauma or straining. MRI revealed a hyper-intense lesion at level of T8 till T10 and patient underwent an urgent laminectomy which revealed an epidural hematoma at that level. Result: Post-operatively, patient gradually improved with final neurology level at level of T9 AIS D prior to discharge. Conclusion: A prompt diagnosis and intervention are needed in cases of SSEH to achieve a favourable outcome.

show abstract

Section: Discussionmentioning

confidence: 99%

Spontaneous Spinal Epidural Hematoma due to Anticoagulant Therapy: A Case Report and Literature Review

Safian

Htwe²,

Sridharan

et al. 2020

Electron J Gen Med

View full text Add to dashboard Cite

show abstract

“…As the majority of patients suffering from CSDH are elderly and considering the fact that they usually suffer from cardiovascular diseases, the surgeon always tries to keep the operation process as short as possible [1,11,12,15]. As the operation using 1 burr hole takes half the time required for a 2 burr hole operation, the present research seeks to make a comparison between these two methods.…”

Section: Discussionmentioning

confidence: 99%

Comparing Clinical Responses to Using One Burr Hole and Two Burr Holes to Treat Chronic Subdural Hematoma

Rafi¹,

Dalvandi²,

Bayat³

et al. 2018

Eurasian J Anal Chem

View full text Add to dashboard Cite

The therapeutic strategies currently used to treat chronic subdural hematoma (CSDH) include various methods such as craniotomy and twist drill or utilizing Burr hole. The present research seeks to make a clinical comparison between using one burr hole and two burr holes to treat CSDH. This is a randomized, double-blind clinical trial conducted on 70 patients suffering from CSDH candidated for using burr hole. The participants were divided into two equal groups and underwent treatment with 1 burr hole or 2 burr holes. The primary and secondary outcome variables were compared across the two groups prior to and 48 hours following the operation. A total number of 5 death cases were (7.14%) were reported among patients. 2 patients (5.71%) were in the 1 burr hole group, while 3 (8.57%) were in the 2 burr hole group (P = 0.514). The need for undergoing a secondary operation in the 2 burr holes group (1 case, i.e. 2.85%) was significantly less than what was reported in the other group (6 cases, i.e. 17.14%) (P = 0.012). The mean time of hospitalization (1 burr hole: 4.98, 2 burr holes: 3.1, P = 0.001), the pneumosephalus levels 48 hours following the operation (1 burr hole: 9.38, 2 burr holes: 5.91, P = 0.012) and hematoma levels 48 hours following the operation (1 burr hole: 41.57, 2 burr holes: 30.85, P = 0.0001) in the 2 burr holes group were significantly less than what were reported in the other group. 48 hours after the operation, the hematoma volume (1 burr hole: P= 0.031, 2 burr holes: P= 0.002) in both groups exhibited a significant reduction compared to what was observed before the operation. Using 1 or 2 burr holes are quite useful methods to treat CSDH patients. However, the clinical outcome of those patients in the 2 burr holes group was much more favorable.

show abstract

“…However, reduction in compliance of lung and chest, increased compliance of the abdominal wall and stiffness of rib cage in addition to paradoxical movements of chest wall contribute to breathing difficulties (6)(7)(8). While, expiratory muscle altered function reduced cough effectiveness and mucus retention (9,10).…”

Section: Introductionmentioning

confidence: 99%

Impact of respiratory muscle training on blood gases and pulmonary function among patients with cervical spinal cord injury

Kader

2018

Electron J Gen Med

View full text Add to dashboard Cite

Background: Pulmonary difficulties is the most common cause of morbidity and mortality following spinal cord injury, which is the main cause of chronic respiratory failure in young adults. Objective: This study aimed to investigate the effect of resistive respiratory muscle training on blood gases and pulmonary function of patients with cervical spinal cord injury. Methods: Thirty six patients with complete spinal cord injury at level from C5 to C8 of both sexes (23 males and 9 females), their age ranged from 23-41 years (30.51±6.82 year) were selected from ICU of Cairo University Hospital participated in this study. Their height ranged between 149-185cm. Participants equally enrolled to either training group (group A) or control group (group B). The respiratory muscle resisted training program was started for group (A) after the clinical stability of patient condition with a threshold positive expiratory pressure device using a three-way valve system via flanged mouthpiece. The patient performed six work sets, five minutes in duration, with a rest period in between for three minutes. All patients received a 45 minutes training/day, five days/ week for six weeks. The arterial blood gases and pulmonary function test are measured before and after exercise program. Results: The mean value of heart rate (HR), respiratory rate (RR), partial pressure of arterial carbon dioxide (PaCO2) and PH revealed significant reduction, where forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and partial pressure of arterial oxygen (PaO2) revealed significant increase in group (A) at the end of the study. However, changes in group (B) were not significant. Moreover, there were significant differences between both groups at the end of the study (P<0.05). Conclusion: Resistive respiratory muscle training improves blood gases and pulmonary function suggesting this intervention as an efficacious therapy for patients with cervical spinal cord injury.

show abstract

Spinal epidural hematoma due to anticoagulant therapy: a case report and literature review

Cited by 4 publications

References 5 publications

Spontaneous Spinal Epidural Hematoma due to Anticoagulant Therapy: A Case Report and Literature Review

Spontaneous Spinal Epidural Hematoma due to Anticoagulant Therapy: A Case Report and Literature Review

Comparing Clinical Responses to Using One Burr Hole and Two Burr Holes to Treat Chronic Subdural Hematoma

Impact of respiratory muscle training on blood gases and pulmonary function among patients with cervical spinal cord injury

Contact Info

Product

Resources

About