Thoracic spine extradural hematoma secondary to thrombotic thrombocytopenic purpura: A case report-Reference-Cited by-同舟云学术

Thoracic spine extradural hematoma secondary to thrombotic thrombocytopenic purpura: A case report

Published:2023-01-02 Issue: Volume:4 Page:109-111
ISSN:2582-5860
Container-title:Adesh University Journal of Medical Sciences & Research
language:en
Short-container-title:AUJMSR

Author:

Ferreira Neto Otávio da Cunha¹,Diniz Andrey Maia Silva²,Alencar Neto Joaquim Fechine de³,Lemos Nilson Batista³,Marques Luis Felipe Ferreira⁴,Alves Neto Luis Bandeira⁵,Lira Arthur Oliveira³,Filho Geraldo de Sá Carneiro⁶,Júnior Deoclides Lima Bezerra⁶,Junior Luiz Severo Bem⁶,Filho Hildo Rocha Cirne De Azevedo⁷

Affiliation:

1. Center of Biological Sciences and Health, Catholic University of Pernambuco, Recife, Pernambuco, Brazil,

2. Department of Medicine, Federal University of Paraíba, João Pessoa, Brazil,

3. Department of Medicine, College of Medical Sciences, Unifacisa University Center, Campina Grande, Paraíba, Brazil,

4. Department of Medicine, College of Medical Sciences, Mato Grosso State University, Cáceres, Mato Grosso, Brazil,

5. Department of Medicine, Faculty of Medical Sciences, University of Pernambuco, Recife, Pernambuco, Brazil,

6. Department of Neurosurgery, Hospital da Restauração, Recife, Pernambuco, Brazil,

7. Neuroscience Post-Graduate Program, Federal University of Pernambuco, Recife, Pernambuco, Brazil,

Abstract

Thrombotic thrombocytopenic purpura is a rare but a fatal disease with a life-threatening thrombotic microangiopathy. We report a case of 35-year-old male, admitted with abdominal pain and fever, growing into progressive crural spastic paraparesis level II, and urinary retention. On investigations, thoracic MRI showed an extradural hematoma in thoracic spine between T11 and L1 and spinal compression. After 5 days of treatment with glucocorticoids, clinical picture got better. In this condition, we decided to have non-surgical intervention. The literature says that the true correlation between severe thrombocytopenia and spine epidural hematoma formation is unknown due to limited data.

Publisher

Scientific Scholar

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