Spontaneous spinal epidural hematoma in patients treated with acenocumarol: A case study

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Published: Aug 5, 2019
DOI: https://doi.org/10.15417/issn.1852-7434.2019.84.3.892
Keywords:
Spontaneous spinal hematoma, acenocumarol, decompressive hemilaminectomy

Main Article Content

Verónica Chuliá Carrasco
Hospital Lluis Alcanyis, Xativa, Valencia, España
http://orcid.org/0000-0003-0954-973X
Patricia Gómez Barbero
Hospital Universitario Dr. Peset, Valencia, España
http://orcid.org/0000-0002-4566-4666

Abstract

Spontaneous spinal epidural hematoma is an uncommon condition and a neurological emergency. The clinical presentation of this type of hematoma is very variable, ranging from a backache up to a quadriplegia, according to the severity and the site of compression. Here, we discuss the clinical case of a 71-year-old patient with heart problems, under previous treatment with acenocumarol, that suffered a spontaneous epidural hematoma. The patient, previously asymptomatic, presented, sudden cervical pain when he bent over, followed by weakness in the lower and the upper limbs. Due to the clinical suspicion, an emergency MRI was performed, showing an epidural hematoma extending from C4 to T8. Early diagnosis and decompressive treatment are mandatory to minimize permanent neurological damage.

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How to Cite
Chuliá Carrasco, V., & Gómez Barbero, P. (2019). Spontaneous spinal epidural hematoma in patients treated with acenocumarol: A case study. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 84(3), 260-264. https://doi.org/10.15417/issn.1852-7434.2019.84.3.892
Issue
Vol 84 No 3 (2019)
Section
Case Presentations
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Author Biographies

Verónica Chuliá Carrasco, Hospital Lluis Alcanyis, Xativa, Valencia, España

Médico adjunto especialista en Cirugía Ortopédica y Traumatología en Hospital Lluis Alcanyis, Xativa, Valencia, España

Patricia Gómez Barbero, Hospital Universitario Dr. Peset, Valencia, España

Servicio de Cirugía Ortopédica y Traumatología en el Hospital Universitario Dr. Peset de Valencia, España

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