Spontaneous Spinal Epidural Hematoma from Rivaroxaban

Clinical Practice and Cases in Emergency Medicine
Charlotte GoldfineRichard M Ratzan

Abstract

Spontaneous spinal epidural hematoma (SSEH) is a rare diagnosis. One known risk factor is anti-coagulation medication. We present a case of SSEH in a 74-year-old male on rivaroxaban therapy who clinically presented with an intermittently resolving and then worsening neurological exam. Due to the extremely high morbidity and mortality associated with this diagnosis, it is important to be aware of the various presentations and adverse effects related to novel anticoagulation.

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Citations

Nov 27, 2019·Surgical Neurology International·Abolfazl RahimizadehNaser Asgari
May 1, 2020·Case Reports in Hematology·Ahmad El AlayliHicham Krayem
Mar 30, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Yoshiro MushaKeisuke Ito
May 7, 2021·Journal of Thrombosis and Thrombolysis·Petr KrupaTomas Cesak

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