Spinal Subdural Haematoma in A Patient After Dobutamine Stress Test: An Unusual Occurrence

Abstract

Spinal subdural haematoma is a rare entity and commonly due to spinal pathology. Its occurrence in patients with impaired coagulation has been reported. We report a case of spinal haematoma occurring after dobutamine stress test. Prompt diagnosis of such cases is required which can be done with MRI spine. Early intervention with surgery and removal of clot causing compression can prevent permanent disability. Our patient developed excruciating back pain and paraplegia after dobutamine stress test. Initially treated with antibiotics and fluids for suspected urinary tract infection, neuroimaging later revealed spinal haematoma. Though surgical evacuation resulted in some improvement in neurology, she was left with a significant disability. It can be concluded that spinal haematoma should be suspected in any patient who complains of severe back pain with neurological symptoms. It needs prompt diagnosis and treatment to prevent disability.




J Med Cases. 2012;3(1):12-14
doi: https://doi.org/10.4021/jmc381w