Presentation
On anticoagulant therapy. Presented with sudden unset severe lower back pain, flaccid paraparesis and incontinence symptoms.
Patient Data
Magnetic resonance imaging of the lumbar spine showed an intradural subacute hematoma extending from L4 to S1 segments. Lesion is compressing the cauda equina fibers and displasing the nerve roots peripherally.
Case Discussion
Non-traumatic intradural extramedullary spinal hematomas are extremely rare. When they occur, they may cause the spinal cord compression or cauda equina syndromes according to their location. If the patient is receiving an anticoagulant agents and is presenting with acute spinal cord compression symptoms, coagulopathy-induced spinal hematomas should be included in the differential diagnosis.
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