Spinal subarachnoid hemorrhage complicating oral anticoagulant therapy

Spinal subarachnoid hemorrhage (SAH) is rare clinical entity possible owing to the diluting and fibrinolytic effects of cerebrospinal fluid (CSF). When it occurs, it is most commonly encountered in the thoracic segment of the subarachnoid space. We present a case of a 50-year-old man who sustained s...

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Bibliographic Details
Published in:European journal of radiology 2001-09, Vol.39 (3), p.176-179
Main Authors: Cihangiroglu, Mutlu, Bulut, Serpil, Nayak, Sundeep
Format: Article
Language:English
Subjects:
Anticoagulants - adverse effects
Anticoagulants - therapeutic use
Biological and medical sciences
Drug toxicity and drugs side effects treatment
Humans
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Spine
Subarachnoid hemorrhage
Subarachnoid Hemorrhage - chemically induced
Subarachnoid Hemorrhage - diagnosis
Tomography, X-Ray Computed
Toxicity: nervous system and muscle
Warfarin - adverse effects
Warfarin - therapeutic use
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Summary:Spinal subarachnoid hemorrhage (SAH) is rare clinical entity possible owing to the diluting and fibrinolytic effects of cerebrospinal fluid (CSF). When it occurs, it is most commonly encountered in the thoracic segment of the subarachnoid space. We present a case of a 50-year-old man who sustained spinal SAH in the cervical and thoracic segments related to anticoagulant therapy. He progressed to significant neurological deficit since he was inoperable, an observation that supports the need for decompression surgery. We should be aware of potential hematomyelia should a patient on anticoagulant therapy develop neurological symptoms localized to the spinal cord. When available, magnetic resonance (MR) imaging is the modality of choice to diagnose and follow-up spinal SAH.
ISSN:0720-048X
1872-7727
DOI:10.1016/S0720-048X(01)00364-3