Paraplegia in a patient on warfarin treatment

A case of a large spinal epidural haematoma, in a 58 years old male, leading to paraplegia, in a patient on long-term warfarin treatment is presented. Magnetic Resonance imaging (MRI) of the whole spine showed extensive epidural spinal haematoma distal to C4 level surrounding and displacing the spin...

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Bibliographic Details
Published in:Journal of the Pakistan Medical Association 2010-05, Vol.60 (5), p.391-393
Main Authors: ANWAR, Fahim, AHMAD AL KHAYER, WEIR, Alistair M
Format: Article
Language:English
Subjects:
Anticoagulants - adverse effects
Biological and medical sciences
Blood. Blood coagulation. Reticuloendothelial system
Decompression, Surgical - adverse effects
Diagnosis, Differential
General aspects
Hematoma, Epidural, Spinal - chemically induced
Hematoma, Epidural, Spinal - complications
Hematoma, Epidural, Spinal - surgery
Humans
Laminectomy - adverse effects
Lumbar Vertebrae - diagnostic imaging
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Paraplegia - etiology
Pharmacology. Drug treatments
Radiography
Treatment Outcome
Warfarin - adverse effects
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Summary:A case of a large spinal epidural haematoma, in a 58 years old male, leading to paraplegia, in a patient on long-term warfarin treatment is presented. Magnetic Resonance imaging (MRI) of the whole spine showed extensive epidural spinal haematoma distal to C4 level surrounding and displacing the spinal cord and the nerve roots up to T2 level. Near complete neurological recovery followed surgical evacuation and multidisciplinary rehabilitation.
ISSN:0030-9982