Evidence map›Paper›PMID 39954096›Full record

ReviewNeurosurgical review2025

New oral anticoagulants-induced spinal epidural haematomas: case series and review of literature.

Andrea Montalbetti, Emanuela Crobeddu, Riccardo Fornaro, Luca Emanuele, Angela Dele Rampini, Andrea Bianco, Lorenzo Magrassi, Christian Cossandi

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Neurosurgical review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Andrea MontalbettiDepartment of Neurosurgery, Moriggia Pelascini Hospital, Gravedona ed Uniti, Italy. andreamontalbetti91@gmail.com.
Emanuela CrobedduDepartment of Neurosurgery, Maggiore della Carità University Hospital, Novara, Italy.
Riccardo FornaroDepartment of Neurosurgery, Maggiore della Carità University Hospital, Novara, Italy.
Luca EmanueleDepartment of Neurosurgery, Santa Corona Hospital, Pietra Ligure, Italy.
Angela Dele RampiniDepartment of Neurosurgery, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Andrea BiancoDepartment of Neurosurgery, Maggiore della Carità University Hospital, Novara, Italy.
Lorenzo MagrassiNeurosurgical Training Program, Department of Clinical Surgical Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Christian CossandiDepartment of Neurosurgery, Maggiore della Carità University Hospital, Novara, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous spinal epidural haematoma (SSEH) is a rare cause of acute spinal cord compression. This condition is often associated with use of anticoagulant drugs, coumarins or new oral anticoagulants, such as direct factor Xa inhibitor and direct thrombin inhibitor. The manifestation of severe neurological deficits is common and can lead to catastrophic consequences if not diagnosed early. Standard therapy is decompressive laminectomy, although spontaneous recoveries have been reported. Due to the rarity of this pathologic entity, only sporadic case reports and associated reviews are available. We report a case series of 4 patients diagnosed with spontaneous spinal epidural haematoma induced by new oral anticoagulants. Spontaneous spinal haematoma is a rare pathologic entity and therefore difficult to diagnose. For patients receiving long term anti-coagulant therapy, SSEH should be included in the differential diagnosis. Prompt surgical evacuation of the haematoma and haemostasis leads to favourable neurological outcome, whereas delay in treatment can be disastrous.

Indexed as

AnticoagulantsHematoma, Epidural, SpinalAdministration, OralAdultAgedDecompression, SurgicalFemaleHumansLaminectomyMaleMiddle AgedSpinal Cord CompressionAnticoagulantsAnticoagulant therapyNeurologic deficitSpontaneous spinal haematoma

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.