A spontaneous spinal epidural hematoma in a hemodialysis patient: a rare entity.
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.
Deger
Serpil Muge
SM
Department of Nephrology, Gazi University Faculty of Medicine, Ankara, Turkey. serpilmugedeger@yahoo.com
Emmez
Hakan
H
Bahadirli
Kenan
K
Kale
Aydemir
A
Ebinc
Fatma Ayerden
FA
Turkoglu
Melda
M
Arinsoy
Turgay
T
Sindel
Sukru
S
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
D000925:Anticoagulants; D006493:Heparin