J Korean Acad Rehabil Med.  2008 Dec;32(6):730-733.

Spinal Subdural Hematoma Associated with Anticoagulant Treatment for Acute Cerebral Infarct: A case report

• Joa KL
• Jung HY
• Kim CH
• Shin YS
• Kim SH
• Lee JH
• Kim MO

Abstract

Spinal subdural hematoma (SDH) is a rare cause of acute spinal cord compression. In most cases, these lesions are observed in association with lumbar puncture or spinal anesthesia, coagulation defect, or an underlying vascular malformation. The use of anticoagulant drug is recommended in managing deep vein thrombosis, acute myocardiac infarct, or acute cerebral infarct. But the risk of bleeding in major organs still exists and is increased by the use of multiple anticoagulants and the intensity of anticoagulation. The risk of spinal hematoma is increased in anticoagulated patients who undergo lumbar puncture or spinal anesthesia. But to dates, there are extremely rare cases of spontaneous spinal SDH occurring in patients with anticoagulant therapy when spinal instrumentation is not also being used. With reviewing some of literatures, we present a case of acute spontaneous spinal SDH developed whilereceiving anticoagulant therapy for treating acute cerebral infarct.

Keyword

Spinal subdural hematoma; Anticoagulant; Cerebral infarct

MeSH Terms

Anesthesia, Spinal
Anticoagulants
Chronology as Topic
Hematoma
Hematoma, Subdural, Spinal
Hemorrhage
Humans
Spinal Cord Compression
Spinal Puncture
Vascular Malformations
Venous Thrombosis
Anticoagulants