Article Text
Abstract
A 68-year-old man on apixaban presented to the emergency department with back pain following a long-haul flight. Investigations for pulmonary embolus and aortic dissection were negative and he was discharged with analgesia for mechanical back pain. He presented three more times with worsening back pain, third time with urinary retention and the fourth time with lower limb weakness and loss of coordination. He was found to have a spinal subdural haematoma on MRI and transferred to a tertiary centre, where he was managed conservatively and discharged for rehabilitation with good neurological recovery.
- neurology
- spinal cord
- neurological injury
- back pain
- neurosurgery
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Footnotes
Patient consent for publication Obtained.
Contributors AM contributed to the conception of the work, obtaining patient’s consent to request confidential data, contacting the tertiary centres for the acquisition of data, analysing and interpreting data and obtaining the patient’s consent to submit the final version of the report for publication. GYHRE contributed to drafting the report, reviewing and extracting the included images. All three authors contributed to critical revision of the report. RA contributed to general advice.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.