Acute spinal intradural extramedullary hematoma: a nonsurgical approach for spinal cord decompression.
The authors present the case of a 60-year old man with a spontaneous spinal intradural hematoma in the thoracic and lumbar region, which was caused by anticoagulant therapy and led to a severe progressive transverse lesion. After substitution of coagulation factors, a small catheter was inserted into the subarachnoid space via a lumbar puncture. By alternating irrigation and suction removal of the blood clot, restoration of the cerebrospinal fluid passage was possible along with a marked improvement in the neurological deficits. At 8 months' follow-up, the patient had completely recovered from the severe paraparesis and bladder dysfunction.
Schwerdtfeger
K
K
Department of Neurosurgery, University of Saarland Medical School, Homburg/Saar, Federal Republic of Germany.
Caspar
W
W
Alloussi
S
S
Strowitzki
M
M
Loew
F
F
D002404:Catheterization; D004322:Drainage; D006406:Hematoma / Q000139:chemically induced / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013118:Spinal Cord Diseases / Q000139:chemically induced / Q000175:diagnosis / Q000628:therapy*; D014859:Warfarin / Q000009:adverse effects
D014859:Warfarin