Spinal Subdural Hematoma Associated with Anticoagulant Treatment for Acute Cerebral Infarct: A case report.

, Joa, Kyung Lim; , Jung, Han Young; , Kim, Chang Hwan; , Shin, Yong Sik; , Kim, Sang Hyun; , Lee, Jun Ho; , Kim, Myeong Ok

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2008;32(6):730-733.

Joa, Kyung Lim , Jung, Han Young , Kim, Chang Hwan , Shin, Yong Sik , Kim, Sang Hyun , Lee, Jun Ho , Kim, Myeong Ok

Department of Rehabilitation Medicine, Inha University College of Medicine, Korea. rmkmo@inha.ac.kr

급성 뇌경색 치료를 위한 혈전 용해제 사용 후 발생한 척수 경막하 혈종-증례 보고-

좌경림, 정한영, 김창환, 신용식, 김상현, 이준호, 김명옥

인하대학교 의과대학 재활의학교실

Abstract

Spinal subdural hematoma (SDH) is a rare cause of acute spinal cord compression. In most cases, these lesions are observed in association with lumbar puncture or spinal anesthesia, coagulation defect, or an underlying vascular malformation. The use of anticoagulant drug is recommended in managing deep vein thrombosis, acute myocardiac infarct, or acute cerebral infarct. But the risk of bleeding in major organs still exists and is increased by the use of multiple anticoagulants and the intensity of anticoagulation. The risk of spinal hematoma is increased in anticoagulated patients who undergo lumbar puncture or spinal anesthesia. But to dates, there are extremely rare cases of spontaneous spinal SDH occurring in patients with anticoagulant therapy when spinal instrumentation is not also being used. With reviewing some of literatures, we present a case of acute spontaneous spinal SDH developed whilereceiving anticoagulant therapy for treating acute cerebral infarct. (J Korean Acad Rehab Med 2008; 32: 730-733)

Key Words: Spinal subdural hematoma, Anticoagulant, Cerebral infarct