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在一名服用达比加群酯的患者中,轻微创伤后出现类似布朗 - 塞卡尔综合征脊髓病表现的脊髓蛛网膜下腔和硬膜下血肿。

Spinal subarachnoid and subdural hematoma presenting as a Brown-Séquard-like myelopathy following minor trauma in a patient on dabigatran etexilate.

作者信息

Wolfe Allen R, Faroqui Raihan M, Visvikis George A, Mantello Michael T, Perel Allan B, Tewari Sanjit O

机构信息

Department of Radiology, Richmond University Medical Center, Staten Island, NY 11310.

College of Medicine, American University of Antigua, University Park, Coolidge, Antigua 41900, West Indies.

出版信息

Radiol Case Rep. 2017 Mar 22;12(2):257-260. doi: 10.1016/j.radcr.2017.02.004. eCollection 2017 Jun.

Abstract

Dabigatran etexilate is a relatively new anticoagulant from the class of direct thrombin inhibitors which is administered orally and does not require routine blood work monitoring. Dabigatran may be attractive to both clinicians and patients because of both its convenience and efficacy; however, clinical complications are still being elucidated. Here, we present a previously unreported case of spinal subarachnoid and subdural hematoma presenting as a Brown-Séquard-like myelopathy in a patient after minor trauma in the setting of Dabigatran anticoagulation.

摘要

达比加群酯是一种相对较新的直接凝血酶抑制剂类抗凝剂,口服给药,无需常规血液检查监测。由于其便利性和有效性,达比加群可能对临床医生和患者都有吸引力;然而,临床并发症仍在阐明中。在此,我们报告一例先前未报道的病例,在达比加群抗凝治疗的情况下,一名患者在轻微创伤后出现脊髓蛛网膜下腔和硬膜下血肿,表现为布朗 - 塞卡尔样脊髓病。

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