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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 A

DOI: 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).

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923