- 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
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.
- 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]