<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272022000300557</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hematoma epidural espinal en paciente con tratamiento anticoagulante con warfarina. A propósito de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Spinal epidural hematoma in a patient on anticoagulation treatment with warfarin. A case report.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Fortún Amador]]></surname>
<given-names><![CDATA[Maryla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luis García]]></surname>
<given-names><![CDATA[Marcos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez Cruz]]></surname>
<given-names><![CDATA[Suyen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández González]]></surname>
<given-names><![CDATA[Yuniesky]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Oncología y Radiobiología, Plaza de la Revolución  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Provincial Clínico Quirúrgico Universitario &#8220;Arnaldo Milián Castro&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>16</volume>
<numero>3</numero>
<fpage>557</fpage>
<lpage>562</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272022000300557&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272022000300557&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272022000300557&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el hematoma epidural espontáneo es una enfermedad poco habitual que puede acompañarse de compresión medular. Numerosas causas pueden ocasionarla, una es el mal control de los anticoagulantes orales.  Información del paciente:  paciente de 57 años de edad, femenina, con antecedentes de padecer insuficiencia de la válvula mitral, con tratamiento anticoagulante con warfarina, que fue llevada al Cuerpo de Guardia del Hospital &#8220;Arnaldo Milián Castro&#8221; por entumecimiento de ambos miembros inferiores; al examen físico se constató paraparesia asimétrica, reflejo osteotendinoso aquileano y rotuliano exaltados (+2), reflejo de Babinsky izquierdo y nivel sensitivo dorsal 6-7.  Conclusiones:  el hematoma epidural espinal es una enfermedad causante de compresión medular aguda que requiere diagnóstico inmediato y tratamiento quirúrgico urgente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[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 &#8220;Arnaldo Milián Castro&#8221; 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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hematoma espinal epidural]]></kwd>
<kwd lng="es"><![CDATA[espontáneo]]></kwd>
<kwd lng="es"><![CDATA[Warfarina]]></kwd>
<kwd lng="en"><![CDATA[hematoma, epidural, spinal]]></kwd>
<kwd lng="en"><![CDATA[spontaneous]]></kwd>
<kwd lng="en"><![CDATA[Warfarin]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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