Elsevier

World Neurosurgery

Volume 83, Issue 2, February 2015, Pages 257-258
World Neurosurgery

Correspondence
Dabigatran-Associated Spontaneous Acute Cervical Epidural Hematoma

https://doi.org/10.1016/j.wneu.2014.10.012Get rights and content

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    No surgical-site rehemorrhage or other hemorrhagic complications occurred, and no patient developed clinical signs of thromboembolic events. The literature review revealed a total of 19 reported spinal emergencies in patients on DOAC treatment (Table 2).3,5-22 The median age was 70 years, and all patients suffered from intraspinal hemorrhage.

  • Spontaneous resolution and complete recovery of spontaneous cervical epidural hematoma: Report of two cases and literature review

    2019, Neurochirurgie
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    Though any vertebral segments may be involved, location is predominantly in cervicothoracic and thoracolumbar dorsal areas [7,8], SSEH is most often attributed to spontaneous collection of blood in the spinal epidural space, without any traumatic or iatrogenic cause [8]. However, this does not exclude predisposing factors such as coagulopathy, vascular malformation, antiplatelet or anticoagulant therapy, cavernous angioma or tumor [11,27–30]. Other authors argue that only cases of idiopathic origin should be considered as SSEH [30].

  • Spontaneous Cervical Spinal Epidural Hematoma Associated with Dabigatran

    2018, World Neurosurgery
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    Recent studies showed that oral anticoagulant therapy appeared to be a risk factor, as 17%−30% of all SSEH cases were linked to anticoagulant use.1 VKAs were the most frequently implicated anticoagulants, with only 2 described cases under NOAC treatment,6,7 but the increasing incidence of NOAC therapy may result in more cases. Hemopathies or pregnancy are associated risk factors, but platelet inhibitor therapy and chronic hypertension are not.1,8

  • Spontaneous Spinal Epidural Hematoma in a Patient on Rivaroxaban: Case Report and Literature Review

    2017, Journal of Emergency Medicine
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    References were manually reviewed for additional studies pertaining to our topic. Four additional case reports of spontaneous SH in patients on DOACs were identified and are summarized in Table 1 (1–4). Patients with SH most commonly present with acute-onset back pain and might rapidly develop signs and symptoms of spinal cord compression or cauda equine syndrome.

  • Spontaneous Hematomyelia Associated with the Use of Non-vitamin K Antagonist

    2023, Journal of Neurological Surgery, Part A: Central European Neurosurgery
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