07 July 2020>: Articles
Paraplegia Caused by Spontaneous Spinal Hemorrhage in a Patient Undergoing Rivaroxaban Therapy
Unusual clinical course, Adverse events of drug therapy
Wiktoria B. Feret A* , Ewa Kwiatkowska A , Leszek Domański ADOI: 10.12659/AJCR.923607
Am J Case Rep 2020; 21:e923607
Figure 1. (A–C) Features of acute bleeding in the thoracic spine, visible at the Th7-Th11 level. The changes were the most widespread at the Th9 level, where they narrow the spinal canal to 8 mm, which corresponds to absolute narrowing of the spinal canal. (A) T1-dependent sagittal image; arrow denotes weakly textured pathological masses in the ventral part of the spinal canal, probably intrathecal. Their signal and lack of contrast suggest acute hemorrhagic changes. (B) T1-dependent transverse image, at level Th8. Notice the lighter color in the ventral spinal canal, indicating the presence of blood (arrow). (C) STIR sagittal image showing dark signal intensity indicating hemorrhage (arrow).