Spinal Kord Hasarlı Hastada Gelişen İnfektif Endokardit

Year 2020, Volume: 15 Issue: 2, 63 - 66, 08.07.2020

Ejder Berk Burhan Güçmen Tuba Tülay Koca Burhan Fatih Koçyiğit Vedat Nacitarhan

https://doi.org/10.17517/ksutfd.610821

Abstract

Spontan
spinal epidural hematom, etiyolojisi tam bilinmeyen, çoğunlukla antikoagülan
ilaç tedavisi alan hastalarda gelişen, akut klinik bir durumdur. Ani gelişen ekstremite
güçsüzlüğü, duyusal defisitler ve/veya idrar retansiyonu kliniği ile birlikte
spinal ağrıdan şikayet eden her hastada akla getirilmelidir. Erken müdahale
yapılmadığında hastanın fonksiyonel iyileşmesinin gecikmesi ve kalıcı nörolojik
defisit riski nedeniyle acil tanı ve tedavi önemlidir. On yıl önce mitral
yetmezlik tanısıyla mitral kapak replasmanı yapılan ve düzenli warfarin
tedavisi alan 44 yaşındaki kadın hastada gelişen spontan spinal epidural
hematom ve sonrasında ortaya çıkan endokardit olgusu bu makalede değerlendirilmiştir. 

Keywords

Spontan spinal epidural hematom, endokardit, spinal

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