Unusual localization of bleeding under acenocoumarol: Spinal subdural hematoma

Abstract

Highlights The spinal subdural hematoma is a rare situation which should be evoked in any patient treated by vitamin K antagonists with signs of spinal cord compression. Magnetic resonance imaging is the imaging exam of choice to establish the diagnosis. Rapid correction of bleeding disorders is required. Sometimes, emergent surgical evacuation of the hematoma is the only therapeutic option to ensure optimal neurological prognosis. The procedures for resuming anticoagulation should be subject to a multidisciplinary consultation.

Spinal subdural hematoma in a patient with immune thrombocytopenic purpura following microvascular decompression: a rare case report

“…Although subdural hemorrhage is common, it is usually rare in patients with normal platelet production and function because of self-healing and drainage through the subdural space, and the incidence of symptom development is low. 9 However, in people with ITP, when blood vessels in the spinal cord rupture, because of the reduced number of platelets, clotting cannot be sufficiently performed. According to the above hypothesis, the patient developed SSDH on the second postoperative day and presented with low back pain.…”