[Myelopathy induced by anticoagulant medication. Report of a case with spinal epidural hematoma].
A 51 year-old female patient, under anticoagulant therapy due to thrombophlebitis and pulmonary embolism, developed sudden paraplegia. Emergency myelogram showed a total block at L2 level and an epidural hematoma was removed at surgery, but the motor deficit remained unchanged post-operatively. The pertinent literature is reviewed, etiological considerations are made and emphasis is placed on early diagnosis and prompt treatment.
D000925:Anticoagulants / Q000009:adverse effects*; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000139:chemically induced* / Q000601:surgery; D006801:Humans; D007796:Laminectomy; D008875:Middle Aged; D009192:Myelography; D010264:Paraplegia / Q000139:chemically induced*; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000209:etiology; D013118:Spinal Cord Diseases / Q000139:chemically induced* / Q000601:surgery
D000925:Anticoagulants
Mielopatia induzida por medicação anticoagulante. Relato de um caso com hematoma epidural espinhal.