{"id":"7ffb8f5b-7236-43d6-9d92-79fe6855f656","slug":"spontaneous-epidural-hematoma-induced-by-rivaroxaban-a-case-report-and-review-of-the-literature","title":"Spontaneous epidural hematoma induced by rivaroxaban: A case report and review of the literature","authors":["Andre Marolop Pangihutan Siahaan","Steven Tandean","Bahagia Willibrordus Maria Nainggolan"],"abstract":"Background: Trauma is the most frequent reason for epidural bleeding. However, numerous investigation had discovered that anticoagulants such as rivaroxaban could cause epidural hematoma. Here, we present a case of epidural hematoma in young man who got rivaroxaban as treatment of deep vein thrombosis. Case Description: A 27-year-old male with a history of deep vein thrombosis and one month of rivaroxaban medication presented with seizure and loss of consciousness following a severe headache. A CT scan of the head revealed epidural bleeding, and emergency blood clot removal was performed. As a reversal, prothrombin complex was utilized. Conclusion: Rivaroxaban has the potential to cause an epidural hemorrhage. Reversal anticoagulant should be administered before doing emergency surgery.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/7ffb8f5b-7236-43d6-9d92-79fe6855f656/featured/hero-1781560955983.png","publishDate":"2022-09-16T00:00:00.000Z","doi":"10.25259/SNI_608_2022","categories":["General Neurosurgery","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2022/09/11871/SNI-13-420.pdf"}