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 spinal cord and the nerve roots up to T2 level. Near complete neurological recovery followed surgical evacuation and multidisciplinary rehabilitation.
Spinal Injuries and Rehabilitation Medicine, Southern General Hospital, Glasgow.
Fahim
F
Anwar
Ahmad
A
Al Khayer
Alistair M
AM
Weir
D000925:Anticoagulants / Q000009:adverse effects*; D019299:Decompression, Surgical / Q000009:adverse effects; D003937:Diagnosis, Differential; D046748:Hematoma, Epidural, Spinal / Q000139:chemically induced* / Q000150:complications / Q000601:surgery; D006801:Humans; D007796:Laminectomy / Q000009:adverse effects*; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology*; D011859:Radiography; D016896:Treatment Outcome; D014859:Warfarin / Q000009:adverse effects*
D000925:Anticoagulants; D014859:Warfarin