Spontaneous Spinal Intradural Haematoma in an Anticoagulated Woman

Girithari, Geetha and Coelho dos Santos, Ines and Alves, Tiago and Claro, Eva and Kirzner, Marcia and Massano, Ana (2018) Spontaneous Spinal Intradural Haematoma in an Anticoagulated Woman. European Journal of Case Reports in Internal Medicine, 5 (10). ISSN 2284-2594

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Abstract

A 57-year-old woman, with a history of deep venous thrombosis and medicated with warfarin, presented at the hospital with acute back pain with paraplegia, headache, high blood pressure and vomiting. Imaging of the spine showed an acute intradural extramedullary haemorrhage with blood clot formation. The patient underwent surgery and received intensive post-surgical physiotherapy but remains paraplegic. Non-traumatic spinal intradural extramedullary haematoma (SIEH) is a rare neurological emergency that can result in spinal cord compression. Physicians should always consider this clinical entity as a differential diagnosis, especially in a patient presenting with acute back pain on anticoagulant therapy.

Item Type: Article
Uncontrolled Keywords: Spinal intradural extramedullary haematoma, spinal subdural haematoma, anticoagulation
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Greta Di Blasio
Date Deposited: 11 Jun 2019 10:46
Last Modified: 11 Jun 2019 10:46
URI: http://eprints.bice.rm.cnr.it/id/eprint/18782

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