Melis TOSUN, Emre Sertaç BINGÜL, Volkan DEMİRDÖĞEN, YAVUZ DEMİRDÖĞEN

Atipik nedenli nöropatik ağrı; oral antikoagülan tedavi altında spontan epidural kanama

Spontan epidural kanama; nöropatik ağrı etiyolojileri arasında yer alan nadir nedenlerdendir. Bu olguda; 68 yaşında, atrial fibrillasyon nedeni ile kardiyoversiyon yapılan ve sistemik emboli profilaksisi amacıyla oral antikoagülan tedavi uygulanan bir hastada gelişen spontan epidural kanama nedeni ile ortaya çıkan nöropatik ağrı ve tedavisi ele alınmıştır. Etiyolojik anlamda özgün olmasının yanı sıra, olgunun, eşlik eden hastalıklar nedeniyle tanı ve tedavisi az rastlanır bir olgu olduğunu düşünerek paylaşmaya değer bulduk.

An atypical neuropathic pain; spontaneous epidural hemorrhage under oral anticoagulant therapy

Spontaneous epidural hemorrhage is one of the rare neuropathic pain etiologies. In this case, a 68-year-old patient, who had atrial fibrillation and cardioversion history, is evaluated for neuropathic pain due to spontaneous epidural hemorrhage that arose from oral anticoagulant therapy. As well as being unique in etiologic terms, we thought it is an uncommon occasion for management worth sharing.

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