title: A spontaneous spinal epidural hematoma in a hemodialysis patient: a rare entity.
abstract: Hemodialysis patients are at an increased risk of bleeding due to the platelet dysfunction caused by uremia and the use of anticoagulants during dialysis. Spontaneous spinal hematoma is a rare disorder as a complication in hemodialysis patients. Also it includes the hematoma secondary to coagulopathy, vascular malformation and hemorrhagic tumors. Here, we report the case of 77-year-old woman who presented with spinal cord compression due to spontaneous spinal epidural hematoma associated with hemodialysis. When an end-stage renal disease patient suffers from back pain and neurological deficits, the clinician should be alerted for the spontaneous spinal epidural hematoma as well as cerebrovascular events.
authors.affiliation: Department of Nephrology, Gazi University Faculty of Medicine, Ankara, Turkey. serpilmugedeger@yahoo.com
authors.forename: Serpil Muge
authors.initials: SM
authors.lastname: Deger
authors.forename: Hakan
authors.initials: H
authors.lastname: Emmez
authors.forename: Kenan
authors.initials: K
authors.lastname: Bahadirli
authors.forename: Aydemir
authors.initials: A
authors.lastname: Kale
authors.forename: Fatma Ayerden
authors.initials: FA
authors.lastname: Ebinc
authors.forename: Melda
authors.initials: M
authors.lastname: Turkoglu
authors.forename: Turgay
authors.initials: T
authors.lastname: Arinsoy
authors.forename: Sukru
authors.initials: S
authors.lastname: Sindel
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects*; D005260:Female; D046748:Hematoma, Epidural, Spinal / Q000139:chemically induced*; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D006435:Renal Dialysis
chemical_list: D000925:Anticoagulants; D006493:Heparin