Aspirin
- PDF / 141,469 Bytes
- 1 Pages / 595.245 x 841.846 pts (A4) Page_size
- 11 Downloads / 183 Views
1
S
Spontaneous spinal epidural haematoma in an elderly patient: case report An 88-year-old woman developed a spontaneous spinal epidural haematoma during treatment with aspirin for chronic atrial fibrillation. The woman presented with acute lumbar pain for 12 hours and progressive bilateral lower limb paresis while receiving aspirin [dosage, route and duration of treatment to reaction onset not stated]. Examination revealed decreased bilateral lower limb power (2/5), hyporeflexia, saddle anaesthesia, urinary incontinence and poor anal tone. A T2-weighted MRI scan showed a large extradural hyperintense lesion at T7–L5 level, and spontaneous spinal epidural haematoma was diagnosed. Within 24 hours of symptom onset, the woman underwent haematoma evacuation via decompressive laminectomy. However, her neurological status did not improve immediately post surgery, and she was transferred to high-level nursing care 2 weeks later. At 4-month followup, she had started to mobilise for short periods with help of intensive outpatient physiotherapy, but the need for intermittent catheterisation persisted. Author comment: "SSEH [Spontaneous spinal epidural haematoma] is a rare, potentially calamitous clinical entity leading to rapid neurological decline. Aspirin should be considered a possible contributory association, particularly in the absence of other obvious risk factors for SSEH." Dimou J, et al. Spontaneous spinal epidural haematoma in a geriatric patient on aspirin. Journal of Clinical Neuroscience 17: 142-4, No. 1, 2010 803027853 Australia
0114-9954/10/1311-0001/$14.95 © 2010 Adis Data Information BV. All rights reserved
Reactions 24 Jul 2010 No. 1311
Data Loading...
