Spontaneous spinal epidural haematoma: management and main risk factors in era of anticoagulant/antiplatelet treatment

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216275%3A25520%2F21%3A39918562" target="_blank" >RIV/00216275:25520/21:39918562 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11120/21:43922423 RIV/00064173:_____/21:N0000025

Result on the web

<a href="https://journals.viamedica.pl/neurologia_neurochirurgia_polska/article/view/PJNNS.a2021.0066/64425" target="_blank" >https://journals.viamedica.pl/neurologia_neurochirurgia_polska/article/view/PJNNS.a2021.0066/64425</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5603/PJNNS.a2021.0066" target="_blank" >10.5603/PJNNS.a2021.0066</a>

Result language

angličtina

Original language name

Spontaneous spinal epidural haematoma: management and main risk factors in era of anticoagulant/antiplatelet treatment

Original language description

Aim of the study. Spontaneous spinal epidural haematomas (SSEH) are rare nosological units wherein acute collections of blood develop in the spinal canal. SSEH are usually manifested by sudden severe back pain accompanied by the development of neurological symptoms. In this study, we retrospectively describe management and the main risk factors of SSEH in a series of 14 cases. Material and methods. Between 2010 and 2019, we examined 14 patients (age range 17-89 years, 10 women) diagnosed with SSEH. Eight cases were patients using anticoagulant therapies (six warfarin, one dabigatran, one apixaban) and two others were using ASA of 100 mg/day. The exact localisation and extent of changes was determined from acute magnetic resonance imaging. Three people using warfarin had INR values higher than 3.0 at the time of their diagnosis. Results. Ten patients (71%) were taking oral anticoagulants or a ntiplatelet agents. In seven patients, SSEH were localised in the lower cervical/thoracic spine. Ten patients (71%) had arterial hypertension. Six patients underwent acute surgery due to rapidly developing spinal cord compression. Eight patients (57%) with slight or mild neurological symptoms were successfully managed without surgery. Conclusions. SSEH should be suspected in any patient receiving anticoagulant/anti platelet agents who complains of sudden, severe back pain accompanied by neurological symptoms. SSEH is mostly localised in the lower cervical/thoracic spine. Arterial hypertension appears to be a risk factor of SSEH. Early decompression is an important therapeutic approach; in cases with minor neurological deficits, conservative treatment may be chosen.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30210 - Clinical neurology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Neurologia i Neurochirurgia Polska

ISSN

0028-3843

e-ISSN

—

Volume of the periodical

55

Issue of the periodical within the volume

6

Country of publishing house

PL - POLAND

Number of pages

8

Pages from-to

574-581

UT code for WoS article

000744178100010

EID of the result in the Scopus database

2-s2.0-85122213512