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Rivaroxaban-induced acute cervical spine epidural hematoma: Report of a case and review
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Background:
Spontaneous spinal epidural hematomas (SEHs) due to the utilization of factor Xa inhibitors are rare.
Case Description:
A 66-year-old female presented with a Brown-Sequard syndrome attributed to a cervical epidural hematoma secondary to the utilization of rivaroxaban, one of the factor Xa inhibitors. Following a cervical laminectomy for the evacuation of the hematoma, the patient completely recovered.
Conclusion:
A spinal hemorrhagic event should be suspected in patients receiving factor Xa inhibitor drugs. Here, we had an elderly female on rivaroxaban experienced the acute onset of neck/back pain associated with a Brown-Sequard syndrome. A literature review showed that this is the seventh example of SEH occurring as a result of the use of anticoagulation drugs (OACDs; e.g., including Xa inhibitors).
Title: Rivaroxaban-induced acute cervical spine epidural hematoma: Report of a case and review
Description:
Background:
Spontaneous spinal epidural hematomas (SEHs) due to the utilization of factor Xa inhibitors are rare.
Case Description:
A 66-year-old female presented with a Brown-Sequard syndrome attributed to a cervical epidural hematoma secondary to the utilization of rivaroxaban, one of the factor Xa inhibitors.
Following a cervical laminectomy for the evacuation of the hematoma, the patient completely recovered.
Conclusion:
A spinal hemorrhagic event should be suspected in patients receiving factor Xa inhibitor drugs.
Here, we had an elderly female on rivaroxaban experienced the acute onset of neck/back pain associated with a Brown-Sequard syndrome.
A literature review showed that this is the seventh example of SEH occurring as a result of the use of anticoagulation drugs (OACDs; e.
g.
, including Xa inhibitors).
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