Spontaneous Cervical Epidural Hematoma Following Anti-Coagulant Medications with Quadriparesis: A Case Report and Narrative Review

Volume 7 | Issue 2 | July-December 2022 | Page: 23-27 | Vijay Kumar Loya, Charanjit Singh Dhillon, T.V. Krishna Narayana, Chetan S. Pophale, Sameen V.K.

DOI: https://doi.org/10.13107/ijs.2022.v07i02.41

Authors: Vijay Kumar Loya [1], Charanjit Singh Dhillon [2], T.V. Krishna Narayana [3], Chetan S. Pophale [2], Sameen V.K [4]

[1] Department of Spine Surgery, Germanten Hospital, Hyderabad, Telangana, India.
[2] Department of Spine Surgery, M.I.O.T International, Chennai, Tamil Nadu, India.
[3] Department of Spine Surgery, Udai Omni Hospital, Hyderabad, Telangana, India.
[4] Department of Spine Surgery, Government Medical College, Kottayam, Kerala, India.

Address of Correspondence
Dr. Vijay Kumar Loya,
Consultant Spine Surgeon, Germanten Hospital, Hyderabad, Telangana, India.
E-mail: dr.vijaykumarloya@gmail.com.


Spontaneous spinal epidural hematoma is an uncommon entity. We present a 42-year gentleman who was a known case of chronic deep vein thrombosis of leg on Tab. Acitrom (6 mg OD) for one & half year presented with sudden-onset weakness of bilateral upper & lower limbs with bowel & bladder involvement. MRI showed ventral epidural haematoma extending from the lower margin of C2 to C6 with severe canal compromise. Patient underwent emergency decompression with hematoma evacuation on the same day within 06 hours of presentation to our centre. At a 2-year follow-up, the patient has recovered good bowel and bladder control and has a residual left leg foot drop. Spontaneous spinal epidural hematoma is a rare condition where early management is the key. If associated with neuro deficits, early decompression (<48 hours) is indicated for a better prognosis. This case report highlights the fact, if dealt proactively patient can have a good neurologic recovery.
Keywords: Epidural hematoma, Quadriparesis, Cervical spine, Anti-coagulants


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How to Cite this Article: Loya VK, Dhillon CS, Narayana TVK, Pophale CS, Sameen VK | Spontaneous Cervical Epidural Hematoma Following Anti-Coagulant Medications with Quadriparesis: A Case Report and Narrative Review | International Journal of Spine | July-December 2022; 7(2): 23-27 | https://doi.org/10.13107/ijs.2022.v07i02.41

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