Abstract
Aims: We report a case of spontaneous spinal epidural hematoma (SSEH) that occurred in a patient on life-long warfarin following liver transplant due to decompensated liver failure secondary to primary Budd-Chiari syndrome.
Patients and Methods: Our patient presented with acute central back pain with bilateral lower limb paralysis and incontinence with neurological level of T8 American Spinal Injury Association Impairment Scale (AIS) A. There were no history of fever, trauma or straining. MRI revealed a hyper-intense lesion at level of T8 till T10 and patient underwent an urgent laminectomy which revealed an epidural hematoma at that level.
Result: Post-operatively, patient gradually improved with final neurology level at level of T9 AIS D prior to discharge.
Conclusion: A prompt diagnosis and intervention are needed in cases of SSEH to achieve a favourable outcome.
License
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Article Type: Case Report
ELECTRON J GEN MED, Volume 17, Issue 3, June 2020, Article No: em197
https://doi.org/10.29333/ejgm/7820
Publication date: 06 Mar 2020
Article Views: 1722
Article Downloads: 1583
Open Access Disclosures References How to cite this article