title: Acute spinal intradural extramedullary hematoma: a nonsurgical approach for spinal cord decompression.
abstract: 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.
authors.affiliation: Department of Neurosurgery, University of Saarland Medical School, Homburg/Saar, Federal Republic of Germany.
authors.forename: K
authors.initials: K
authors.lastname: Schwerdtfeger
authors.forename: W
authors.initials: W
authors.lastname: Caspar
authors.forename: S
authors.initials: S
authors.lastname: Alloussi
authors.forename: M
authors.initials: M
authors.lastname: Strowitzki
authors.forename: F
authors.initials: F
authors.lastname: Loew
mesh_terms: 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
chemical_list: D014859:Warfarin