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ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"

2022, Number 3

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Acta Med Cent 2022; 16 (3)

Spinal epidural hematoma in a patient on anticoagulation treatment with warfarin. A case report

Martínez-Fortún AM, Luis GM, Jiménez CS, Hernández GY

Language: Spanish
References: 13
Page: 557-562
PDF size: 481.28 Kb.


ABSTRACT

Introduction: spontaneous epidural hematoma is a rare condition that may be accompanied by spinal cord compression. It can be caused by several factors, one of which is poor control of oral anticoagulants.
Patient information: 57-year-old female patient, with a history of mitral valve insufficiency, with anticoagulant treatment with warfarin, who was taken to the Emergency Room of the “Arnaldo Milián Castro” Hospital due to numbness in both lower limbs; physical examination revealed asymmetric paraparesis, exalted osteotendinous aquilean and patellar reflexes (+2), left Babinsky reflex and dorsal sensory level 6-7.
Conclusions: spinal epidural hematoma is a disease causing acute spinal cord compression that requires immediate diagnosis and urgent surgical treatment.


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