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Acta Médica del Centro
versão On-line ISSN 2709-7927
Resumo
MARTINEZ-FORTUN AMADOR, Maryla; LUIS GARCIA, Marcos; JIMENEZ CRUZ, Suyen e HERNANDEZ GONZALEZ, Yuniesky. Spinal epidural hematoma in a patient on anticoagulation treatment with warfarin. A case report. Acta méd centro [online]. 2022, vol.16, n.3, pp. 557-562. Epub 30-Set-2022. ISSN 2709-7927.
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.
Palavras-chave : hematoma, epidural, spinal; spontaneous; Warfarin.