{"id":"5f5afb8b-17c7-4425-be45-06171e979481","slug":"rivaroxaban-induced-acute-cervical-spine-epidural-hematoma-report-of-a-case-and-review","title":"Rivaroxaban-induced acute cervical spine epidural hematoma: Report of a case and review","authors":["Abolfazl Rahimizadeh","Zahed Malekmohammadi","Walter L. Williamson","Shaghayegh Rahimizadeh","Mahan Amirzadeh","Naser Asgari"],"abstract":"Background: Spontaneous spinal epidural hematomas (SEHs) due to the utilization of factor Xa inhibitors are rare. Case Description: A 66-year-old female presented with a Brown-Sequard syndrome attributed to a cervical epidural hematoma secondary to the utilization of rivaroxaban, one of the factor Xa inhibitors. Following a cervical laminectomy for the evacuation of the hematoma, the patient completely recovered. Conclusion: A spinal hemorrhagic event should be suspected in patients receiving factor Xa inhibitor drugs. Here, we had an elderly female on rivaroxaban experienced the acute onset of neck/back pain associated with a Brown-Sequard syndrome. A literature review showed that this is the seventh example of SEH occurring as a result of the use of anticoagulation drugs (OACDs; e.g., including Xa inhibitors).","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/5f5afb8b-17c7-4425-be45-06171e979481/featured/hero-1781563725947.png","publishDate":"2019-10-25T00:00:00.000Z","doi":"10.25259/SNI_390_2019","categories":["Spine","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2019/10/9723/SNI-10-210.pdf"}