Korean J Nephrol.  2010 Sep;29(5):656-661.

A Case of Spontaneous Spinal Epidural Hematoma (SSEH) Associated with Low-Molecular-Weight Heparin (LMWH) in a Patient with Nephrotic Syndrome

• Kim IK
• Lee SJ
• Chang YK
• Kim SY

Abstract

Spontaneous spinal epidural hematoma in a patient with nephrotic syndrome and who is on anticoagulation is very rare. A 40-year old man visited our hospital for aggravated leg edema. On the 5th admission day, the patient complained of severe low back pain, newly developed sensory disturbance and sequential motor weakness in both lower extremities and there was no history of trauma. Magnetic resonance imaging (MRI) of the thoracolumbar spine demonstrated spinal epidural hematoma. The anticoagulation was stopped and the neurologic problems of the patient disappeared without sequalae. We report on this rare case of spontaneous spinal epidural hematoma in a nephrotic patient who was on anticoagulation.

Keyword

Spinal epidural hematoma; Nephrotic syndrome; Heparin

MeSH Terms

Edema
Hematoma, Epidural, Spinal
Heparin
Heparin, Low-Molecular-Weight
Humans
Leg
Low Back Pain
Lower Extremity
Magnetic Resonance Imaging
Nephrotic Syndrome
Spine
Heparin
Heparin, Low-Molecular-Weight