RESEARCH ARTICLE


Sciatica and Incomplete Paraplegia After Spontaneous Haematoma of the Spinal Cord Due to a Cumarine - Induced Coagulopathy: Case Report



Juraj Artner*, 1, F Leucht1, C Schulz2, B Cakir1
1 Department of Orthopaedic Surgery, University of Ulm, RKU Ulm, Germany
2 Department of Neurosurgery, Military Hospital, Ulm, Germany


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Creative Commons License
© Artner et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Orthopaedic Surgery, University of Ulm, RKU, Oberer Eselsberg 45, 89081 Ulm, Germany; Tel: 0049-731-177-5111; Fax: 0049-731-177-1058; E-mail: j.artner@gmail.com


Abstract

Spontaneous spinal haematoma is a rare cause of sciatica. We present a case of a 73 year old patient, who was admitted to our department and suffered from spontaneous sciatica over 24 hours. During the examination, the patient presented undulating symptoms of paraplegia, varying from incomplete loss of power in the left lower limb to complete plegia. The patient presented multiple diseases like biological aortic valve replacement, diabetes, hypertonia in her medical history, etc. Due to an additional absolute arrhythmia she ingested a cumarine medication. The tomographic imaging revealed a spontaneous lumbar and cranial subarachnoidal haematoma.

Keywords: Spinal haematoma, sciatica, cumarine, subarachnoidal hemorrhage, vasospasm, paraplegia.