Spontaneous Hemorrhage of Thoracic Cavernous Malformation Leading to Bilateral Lower Extremity Paralysis.
CavMal
Cavernous malformation
Hemorrhagic cavernous malformation
Paraplegia
Journal
Journal of community hospital internal medicine perspectives
ISSN: 2000-9666
Titre abrégé: J Community Hosp Intern Med Perspect
Pays: United States
ID NLM: 101601396
Informations de publication
Date de publication:
2023
2023
Historique:
received:
26
12
2022
revised:
10
02
2023
accepted:
22
02
2023
medline:
25
10
2023
pubmed:
25
10
2023
entrez:
25
10
2023
Statut:
epublish
Résumé
Cavernous malformations (CMs) are abnormal clusters of thin-walled blood vessels located in the central nervous system. An 87-year-old male with a history of heart failure with reduced ejection fraction, coronary artery disease, and atrial fibrillation on rivaroxaban was admitted for acute onset, bilateral lower extremity weakness. He was found to have hemorrhagic transformation of a pre-existing spinal cord cavernous malformation located at the level of T9 of the thoracic column worsened by his use of anticoagulation. Surgical resection remains the only definitive management. Patients at high risk for surgical intervention are managed with supportive care and physical therapy.
Identifiants
pubmed: 37877057
doi: 10.55729/2000-9666.1180
pii: jchim-13-03-062
pmc: PMC10593171
doi:
Types de publication
Case Reports
Langues
eng
Pagination
62-64Informations de copyright
© 2023 Greater Baltimore Medical Center.
Déclaration de conflit d'intérêts
Conflict of interest The authors have no conflicts of interest to declare.
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