Spontaneous spinal epidural hematoma and spinal cord infarction following orthotopic liver transplantation: Case report and review of the literature
| Autor: | Daniel C. Lu, Corinne Buchanan, Colin C. Buchanan, Tram T. Tran |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Hepatitis
medicine.medical_specialty Pregnancy spinal cord infarction Cirrhosis Orthotopic liver transplantation business.industry Complications of liver transplantation medicine.disease Surgical Neurology International: Spine Surgery coagulopathy surgical procedures operative spontaneous spinal epidural hematoma orthotopic liver transplantation medicine Coagulopathy cardiovascular system Neurology (clinical) Spinal cord infarction Complication business internal vertebral venous plexus Perfusion |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2152-7806 2229-5097 |
| Popis: | Background Spinal epidural hematomas are rare conditions. Although the exact cause remains unknown in up to 40% of cases, anticoagulation therapy, neoplasm, thrombolytic therapy, internal jugular vein thrombosis, and prolonged Valsalva maneuvers associated with pregnancy may be contributing factors. The source of bleeding appears to be the dorsal internal vertebral venous plexus (IVVP). Case description A 65-year-old female patient with hepatitis C-related cirrhosis underwent orthotopic liver transplantation (OLT). The patient developed SSEH due to congestion of the IVVP in the peri-transplant period. Concurrent spinal cord infarction occurred, likely secondary to hypoperfusion during a cardiac arrest. Conclusion This case study should increase awareness of SSEH as a complication of OLT. |
| Databáze: | OpenAIRE |
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