A Case of Intradural Hematoma in Thoracolumbar Spine

Abstract

We report a case of thoracolumbar spine intradural hematoma. A 70-year-old male was undergoing warfarin internal use medical treatment for atrial fibrillation. When he strained while defecating, he noticed low back pain and left limb pain and was taken to hospital by ambulance. The next day he consulted our hospital due to lower extremity muscle strength weakness. Frankel type was C and the strength of low extremity was weak in the left limb predominantly. To be antagonistic to warfarin, we administered Vit K. However, since loss of muscle strength advanced further, operation was carried out. Our diagnosis was intradural hematoma or extradural hematoma. Hematoma was seen in the intra dura mater. He could walk with T-cane after operation. In patients with known bleeding disorders experiencing low back pain, intradural hematoma must be taken into consideration in mind.