A spinal haematoma occurring in the subarachnoid as well as in the subdural space in a patient treated with anticoagulants.
A 75-year-old man on anticoagulant therapy suddenly experienced an excruciating back pain and subsequently developed a paraplegia. At operation a subarachnoid and a subdural haematoma were found, extending between the levels of the vertebrae T3 and L2. This extremely rare combination of haematomas may have been caused either by rupture of a small vessel in the arachnoid membrane or by rupture of the arachnoid membrane itself, secondary to a massive haemorrhage in the subarachnoid space.
Bernsen
R A
RA
University Department of Neurology, University Hospital, Utrecht, The Netherlands.
Hoogenraad
T U
TU
D000368:Aged; D006408:Hematoma, Subdural / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D009460:Neurologic Examination / Q000187:drug effects; D010644:Phenprocoumon / Q000008:administration & dosage / Q000009:adverse effects*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D013117:Spinal Cord Compression / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D013345:Subarachnoid Hemorrhage / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D013924:Thrombophlebitis / Q000188:drug therapy*; D014057:Tomography, X-Ray Computed
D010644:Phenprocoumon