Rivaroxaban-induced acute cervical spine epidural hematoma: Report of a case and review

BACKGROUND: Spontaneous spinal epidural hematomas (SEHs) due to the utilization of factor Xa inhibitors are rare. CASE DESCRIPTION: A 66-year-old female presented with a Brown-Sequard syndrome attributed to a cervical epidural hematoma secondary to the utilization of rivaroxaban, one of the factor X...

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Autores principales: Rahimizadeh, Abolfazl, Malekmohammadi, Zahed, Williamson, Walter L., Rahimizadeh, Shaghayegh, Amirzadeh, Mahan, Asgari, Naser
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826300/
https://www.ncbi.nlm.nih.gov/pubmed/31768290
http://dx.doi.org/10.25259/SNI_390_2019
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author Rahimizadeh, Abolfazl
Malekmohammadi, Zahed
Williamson, Walter L.
Rahimizadeh, Shaghayegh
Amirzadeh, Mahan
Asgari, Naser
author_facet Rahimizadeh, Abolfazl
Malekmohammadi, Zahed
Williamson, Walter L.
Rahimizadeh, Shaghayegh
Amirzadeh, Mahan
Asgari, Naser
author_sort Rahimizadeh, Abolfazl
collection PubMed
description BACKGROUND: Spontaneous spinal epidural hematomas (SEHs) due to the utilization of factor Xa inhibitors are rare. CASE DESCRIPTION: A 66-year-old female presented with a Brown-Sequard syndrome attributed to a cervical epidural hematoma secondary to the utilization of rivaroxaban, one of the factor Xa inhibitors. Following a cervical laminectomy for the evacuation of the hematoma, the patient completely recovered. CONCLUSION: A spinal hemorrhagic event should be suspected in patients receiving factor Xa inhibitor drugs. Here, we had an elderly female on rivaroxaban experienced the acute onset of neck/back pain associated with a Brown-Sequard syndrome. A literature review showed that this is the seventh example of SEH occurring as a result of the use of anticoagulation drugs (OACDs; e.g., including Xa inhibitors).
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spelling pubmed-68263002019-11-25 Rivaroxaban-induced acute cervical spine epidural hematoma: Report of a case and review Rahimizadeh, Abolfazl Malekmohammadi, Zahed Williamson, Walter L. Rahimizadeh, Shaghayegh Amirzadeh, Mahan Asgari, Naser Surg Neurol Int Case Report BACKGROUND: Spontaneous spinal epidural hematomas (SEHs) due to the utilization of factor Xa inhibitors are rare. CASE DESCRIPTION: A 66-year-old female presented with a Brown-Sequard syndrome attributed to a cervical epidural hematoma secondary to the utilization of rivaroxaban, one of the factor Xa inhibitors. Following a cervical laminectomy for the evacuation of the hematoma, the patient completely recovered. CONCLUSION: A spinal hemorrhagic event should be suspected in patients receiving factor Xa inhibitor drugs. Here, we had an elderly female on rivaroxaban experienced the acute onset of neck/back pain associated with a Brown-Sequard syndrome. A literature review showed that this is the seventh example of SEH occurring as a result of the use of anticoagulation drugs (OACDs; e.g., including Xa inhibitors). Scientific Scholar 2019-10-25 /pmc/articles/PMC6826300/ /pubmed/31768290 http://dx.doi.org/10.25259/SNI_390_2019 Text en Copyright: © 2019 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Rahimizadeh, Abolfazl
Malekmohammadi, Zahed
Williamson, Walter L.
Rahimizadeh, Shaghayegh
Amirzadeh, Mahan
Asgari, Naser
Rivaroxaban-induced acute cervical spine epidural hematoma: Report of a case and review
title Rivaroxaban-induced acute cervical spine epidural hematoma: Report of a case and review
title_full Rivaroxaban-induced acute cervical spine epidural hematoma: Report of a case and review
title_fullStr Rivaroxaban-induced acute cervical spine epidural hematoma: Report of a case and review
title_full_unstemmed Rivaroxaban-induced acute cervical spine epidural hematoma: Report of a case and review
title_short Rivaroxaban-induced acute cervical spine epidural hematoma: Report of a case and review
title_sort rivaroxaban-induced acute cervical spine epidural hematoma: report of a case and review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826300/
https://www.ncbi.nlm.nih.gov/pubmed/31768290
http://dx.doi.org/10.25259/SNI_390_2019
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