Top

CardioVascular and Interventional Radiology

Published in:

01-06-2006

Spinal Epidural Hematoma After Thrombolysis for Deep Vein Thrombosis with Subsequent Pulmonary Thromboembolism: A Case Report

Authors: Young-Min Han, Ho-Sung Kwak, Gong-Young Jin, Gyung-Ho Chung, Kyung-Jin Song

Published in: CardioVascular and Interventional Radiology | Issue 3/2006

Abstract

A 38-year-old male was initially admitted for left leg swelling. He was diagnosed as having deep vein thrombosis (DVT) in the left leg and a pulmonary thromboembolism by contrast-enhanced chest computed tomography (CT) with delayed lower extremity CT. The DVT was treated by thrombolysis and a venous stent. Four hours later, he complained of severe back pain and a sensation of separation of his body and lower extremities; he experienced paraplegia early in the morning of the following day. Magnetic resonance imaging showed a spinal epidural hematoma between T11 and L2, which decompressed following surgery. We, therefore, report a case of a spinal epidural hematoma after thrombolysis in a case of DVT with a pulmonary thromboembolism.

Hentschel SJ, Woolfenden AR, Fairholm DJ (2001) Resolution of spontaneous spinal hematoma without surgery. Report of two cases. Spine 26:E525–E527PubMedCrossRef

Miyagi Y, Miyazono M, Kamikaseda K (1998) Spinal epidural vascular malformation presenting in association with a spontaneously resolved acute epidural hematoma. J Neurosurg 88:909–911PubMed

Baena RR, Gatetani P, Tancioni F, et al. (1995) Spinal epidural hematoma during anticoagulant therapy. A case report and review of the literature. J Neurosurg Sci 39:87–94

Groen R, van Alphen HA (1996) Operative treatment of spontaneous spinal epidural hematomas: a study of the factors determining postoperative outcome. Neurosurgery 39:494–509PubMed

Bjarnason H, Kruse JR, Asinger DA, et al. (1997) Iliofemoral deep vein venous thrombosis safety and efficacy outcome during 5 years of catheter-directed thrombolytic therapy. J Vasc Intervent Radiol 8:405–418

Clarke D, Bertrand G, Tampieri D (1992) Spontaneous spinal epidural hematoma causing paraplegia: resolution and recovery without surgical decompression. Neurosurgery 30:108–111PubMed

Wall NJ (2003) How do I manage a spinal epidural hematoma? Nursing 33:76–77

Morandi X, Riffaud L, Chabert E, et al. (2001) Acute nontraumatic spinal subdural hematomas in three patients. Spine 26: E547–E551PubMedCrossRef

Khamashta MA, Cuardrado MJ, Mujic F, et al. (1995) The management of thrombosis in the antiphopholipid-antibody syndrome. New Engl J Med 332:993–997PubMedCrossRef

Title: Spinal Epidural Hematoma After Thrombolysis for Deep Vein Thrombosis with Subsequent Pulmonary Thromboembolism: A Case Report
Authors: Young-Min Han
Ho-Sung Kwak
Gong-Young Jin
Gyung-Ho Chung
Kyung-Jin Song
Publication date: 01-06-2006
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 3/2006
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-004-0133-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Spinal Epidural Hematoma After Thrombolysis for Deep Vein Thrombosis with Subsequent Pulmonary Thromboembolism: A Case Report

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2006

Percutaneous Transhepatic Use of a Cutting Balloon in the Treatment of a Benign Common Bile Duct Stricture

The Role of N-Acetylcysteine in the Prevention of Contrast-Induced Nephrotoxicity

Comparison of Fusion Imaging Using a Combined SPECT/CT System and Intra-arterial CT: Assessment of Drug Distribution by an Implantable Port System in Patients Undergoing Hepatic Arterial Infusion Chemotherapy

Long-Term Histopathologic and IVUS Evaluations of a Novel Coiled Sheet Stent in Porcine Carotid Arteries

Splenic Artery Aneurysm of the Anomalous Splenomesenteric Trunk: Successful Treatment by Transcatheter Embolization Using Detachable Coils

Percutaneous Transhepatic Biliary Drainage in the Management of Postsurgical Biliary Leaks in Patients with Nondilated Intrahepatic Bile Ducts