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Spinal Subdural Hematoma Scholarly Peer-review Journal | Open Access Journals
Journal of Spine

Journal of Spine

ISSN: 2165-7939

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Spinal Subdural Hematoma Scholarly Peer-review Journal

Spontaneous spinal subdural hematomas are extremely rare. Most spinal hematomas are discovered in the epidural space. In the majority of cases, spontaneous hematomas are idiopathic. However, when assigned to anticoagulant therapy, coumarins are more common than direct factor Xa inhibitors such as apixaban. Previous reports have linked direct factor Xa inhibitors to intracranial subdural hematomas much more frequently than vertebral subdural hematomas. The manifestation of severe neurological deficits, such as sensorimotor disorders and loss of sphincter control, is common and is considered a surgical emergency. The present case consists of a patient with a spontaneous spinal thoracic subdural hematoma secondary to the use of apixaban with loss of control of the sphincter and paraplegia. After 6 months of follow-up, the patient has fully recovered.
Spinal subdural hematomas (SSDH) are quite rare, as they appear much less frequently than intracranial subdural hematomas and spinal epidural hematomas. Subdural spine hematomas account for approximately 4.1% of all spinal hematomas. The three main causes of SSDH are post-traumatic, iatrogenic and spontaneous. In many cases, the neurological symptoms are obvious, so establishing an immediate diagnosis using an imaging modality, such as magnetic resonance, is mandatory. Once the diagnosis is confirmed, a correlation with clinical severity is necessary to justify the need for surgical intervention. It is a rare phenomenon of a spontaneous thoracic subdural hematoma associated with paraplegia and dysfunction of the sphincter with secondary to the apixaban used.

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Citations: 2022

Journal of Spine received 2022 citations as per Google Scholar report

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