Abstract
The authors report a patient who was on oral anticoagulants because of mitral valve disease and who developed paraplegia from subarachnoid bleeding involving the cauda equina. The differential diagnosis, investigations and treatment of the cauda equina syndrome are described.
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Tay E C K, Chacha P B (1979) Midline prolapse of a lumbar intervertebral disc with compression of the cauda equina. J Bone Joint Surg Br 61: 43–46.
Kostuik J P, Harrington I, Alexander D, Rand W, Evans D (1986) Cauda equina syndrome and lumbar disc herniation. J Bone Joint Surg Am 68: 386–391.
Hogenesch R I, Staal M J (1988) Tumors of the cauda equina. The importance of an early diagnosis. Clin Neurol Neurosurg 90: 343–8.
Herb E, Schwachenwald R, Nowak G, Müller H, Reusche E (1990) Acute bleeding into a filum terminale ependymoma. Neurosurg Rev 13: 243–245.
Ker N B, Jones C B (1985) Tumours of the cauda equina. J Bone Joint Surg Br 67: 358–362.
McLaren A C, Bailey S I (1988) Cauda equina syndrome: A complication of lumbar discectomy. Clin Orthop 204: 143–149.
Vandam L (1986) Neurological sequelae of spinal and epidural anesthesia. Int Anaesthesiol Clin 24: 231–255.
Nielsen H L, Rohold A E (1989) Cauda equina syndrom under antikoagulationsbehandling. Ugeskr Laeger 151: 1989–1900.
Pointud P h, Uzzan B, Stilhart B (1979) Syndrome de la queue de cheval par hematome epidural rachidien au cours d'un traitement anticoagulant. Nouv Presse Med 8: 4047.
Tullous M W (1990) Cauda equina syndrome of longstanding ankylosing spondylitis. J Neurosurg 73: 441–447.
Anderson N E, Willoughby E W (1987) Infarction of the conus medullaris. Ann Neurol 21: 470–474.
Jacobson I, Maccabe J, Harris P, Dott N (1966) Spontaneous spinal epidural haemorrhage during anticoagulant therapy. BMJ 1: 522–523.
Harik S, Raichle M, Reis D (1971) Spontaneously remitting spinal epidural hematoma in a patient on anticoagulants. N Engl J Med 284: 1355–1357.
Bewermeyer H, Hojer C h, Schumacher A, Heiss, W-D (1989) Neurologische Komplikationen durch Antikoagulantien und Fibrinolytika. Nervenarzt 60: 268–275.
Forfar J C (1979) A 7-year analysis of hemorrhage in patients on long-term anticoagulant treatment. Br Heart J 42: 128–132.
Moskopp D, Brassel F, Ries F (1987) Intrakranielle und intraspinale Blutingen unter Behandlung mit Cumarinderivaten. Klin Wochenschr 65: 781–790.
Fearnside M R, Adams C B T (1978) Tumours of the cauda equina. Neurol Neurosurg Psychiatry 41: 24–31.
Aminoff M J, Logue V (1974) Clinical features of spinal vascular malformations. Brain 97: 197–210.
Chappel R, de Barsy A, Dua G, Appel B, Herregods P (1988) Spinal angiomas as cause of non-traumatic paraplegia: case report. Paraplegia 26: 425–430.
Di Chiro G (1985) Tumors and arteriovenous malformations of the spinal cord: Assessment using MR. Radiology 156: 689–697.
Gleave J R W, Macfarlane R (1990) Prognosis for recovery of bladder function following lumbar central disc prolapse. Br J Neurosurg 4: 205–210.
Scott P J (1965) Bladder paralysis in cauda equina lesions from disc prolapse. J Bone Joint Surg Br 47: 224–235.
Little J W, DeLisa J A (1986) Cauda equina injury: Late motor recovery. Arch Phys Med Rehabil 67: 45–47.
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Willems, J., Anne, A., Herregods, P. et al. A cauda equina syndrome in a patient treated with oral anticoagulants. Case report. Spinal Cord 32, 277–280 (1994). https://doi.org/10.1038/sc.1994.48
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DOI: https://doi.org/10.1038/sc.1994.48