Spontaneous spinal subdural haematoma in a patient on apixaban

A 68-year-old man on apixaban presented to the emergency department with back pain following a long-haul flight. Investigations for pulmonary embolus and aortic dissection were negative and he was discharged with analgesia for mechanical back pain. He presented three more times with worsening back p...

Descripción completa

Detalles Bibliográficos
Autores principales: Mchaourab, Ahmad, Evans, Gwenllian Ying-Huey Rees, Austin, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Reminder of Important Clinical Lesson
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347922/
https://www.ncbi.nlm.nih.gov/pubmed/30674492
http://dx.doi.org/10.1136/bcr-2018-227311
_version_ 1783390019544678400
author Mchaourab, Ahmad
Evans, Gwenllian Ying-Huey Rees
Austin, Richard
author_facet Mchaourab, Ahmad
Evans, Gwenllian Ying-Huey Rees
Austin, Richard
author_sort Mchaourab, Ahmad
collection PubMed
description A 68-year-old man on apixaban presented to the emergency department with back pain following a long-haul flight. Investigations for pulmonary embolus and aortic dissection were negative and he was discharged with analgesia for mechanical back pain. He presented three more times with worsening back pain, third time with urinary retention and the fourth time with lower limb weakness and loss of coordination. He was found to have a spinal subdural haematoma on MRI and transferred to a tertiary centre, where he was managed conservatively and discharged for rehabilitation with good neurological recovery.
format Online
Article
Text
id pubmed-6347922
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-63479222019-02-08 Spontaneous spinal subdural haematoma in a patient on apixaban Mchaourab, Ahmad Evans, Gwenllian Ying-Huey Rees Austin, Richard BMJ Case Rep Reminder of Important Clinical Lesson A 68-year-old man on apixaban presented to the emergency department with back pain following a long-haul flight. Investigations for pulmonary embolus and aortic dissection were negative and he was discharged with analgesia for mechanical back pain. He presented three more times with worsening back pain, third time with urinary retention and the fourth time with lower limb weakness and loss of coordination. He was found to have a spinal subdural haematoma on MRI and transferred to a tertiary centre, where he was managed conservatively and discharged for rehabilitation with good neurological recovery. BMJ Publishing Group 2019-01-22 /pmc/articles/PMC6347922/ /pubmed/30674492 http://dx.doi.org/10.1136/bcr-2018-227311 Text en © BMJ Publishing Group Limited 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Reminder of Important Clinical Lesson
Mchaourab, Ahmad
Evans, Gwenllian Ying-Huey Rees
Austin, Richard
Spontaneous spinal subdural haematoma in a patient on apixaban
title Spontaneous spinal subdural haematoma in a patient on apixaban
title_full Spontaneous spinal subdural haematoma in a patient on apixaban
title_fullStr Spontaneous spinal subdural haematoma in a patient on apixaban
title_full_unstemmed Spontaneous spinal subdural haematoma in a patient on apixaban
title_short Spontaneous spinal subdural haematoma in a patient on apixaban
title_sort spontaneous spinal subdural haematoma in a patient on apixaban
topic Reminder of Important Clinical Lesson
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347922/
https://www.ncbi.nlm.nih.gov/pubmed/30674492
http://dx.doi.org/10.1136/bcr-2018-227311
work_keys_str_mv AT mchaourabahmad spontaneousspinalsubduralhaematomainapatientonapixaban
AT evansgwenllianyinghueyrees spontaneousspinalsubduralhaematomainapatientonapixaban
AT austinrichard spontaneousspinalsubduralhaematomainapatientonapixaban

Ejemplares similares