• HPI

    • 75-year-old man on apixaban (Eliquis) for atrial fibrillation presents with 48 hours of progressive bilateral leg weakness
    • Now with 24 hours of paraplegia but intact propioception and vibration sense
    • Loss of bowel/bladder control

    Figure 1

    1. The next best step in management would be:

    2. The reversal of apixaban can be achieved with:

    3. The most likely diagnosis would be:

    4. Which of the following describes you? 

    5. I practice in one of the following locations.

    6. Please add any suggestions or comments regarding this case:
     
    • Nice case.
    • It is very imortant to decompress the spine to achive a better results, ant too the control of coagulation.

    • I Practice in Haïti

    • Comments from the experts will be appreciated.

    Pubmed References

    • Fawole A, Daw HA, Crowther MA. Practical management of bleeding due to the anticoagulants dabigatran, rivaroxaban, and apixaban. Cleve Clin J Med. 2013 Jul;80(7):443-51. doi: 10.3949/ccjm.80a.13025.
       
    • Vascular diseases of the spinal cord.
      Rubin MN, Rabinstein AA.
      Neurol Clin. 2013 Feb;31(1):153-81. doi: 10.1016/j.ncl.2012.09.004. Review.
      PMID: 23186899 [PubMed - indexed for MEDLINE]
       
    • Spinal cord tumors: new views and future directions.
      Mechtler LL, Nandigam K.
      Neurol Clin. 2013 Feb;31(1):241-68. doi: 10.1016/j.ncl.2012.09.011. Review.
      PMID: 23186903 [PubMed - indexed for MEDLINE]

     

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