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.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )