An elderly patient who developed spontaneous spinal epidural hematoma during warfarin therapy.
Spontaneous spinal epidural hematoma (SSEH) is an uncommon but clinically important disease, and delayed diagnosis of this condition can have severe consequences. General physicians should consider the possibility of SSEH when they encounter a patient with a sudden onset of unexplained cervical or back pain or subsequent radicular symptoms during anticoagulant therapy. Immediate magnetic resonance imaging is essential for early diagnosis. In this article, we present a rare case of an 80-year-old man who developed cervical SSEH during warfarin therapy.
The First Department of Comprehensive Medicine, Jichi Medical University Saitama Medical Center, Japan.
Hiroki
H
Yabe
Akira
A
Ishii
Naoko
N
Niikawa
Hiroshi
H
Matsubayashi
Masafumi
M
Kakei
Masanobu
M
Kawakami
Hitoshi
H
Sugawara
D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000009:adverse effects*; D001281:Atrial Fibrillation / Q000188:drug therapy; D046748:Hematoma, Epidural, Spinal / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D014859:Warfarin / Q000009:adverse effects*
D000925:Anticoagulants; D014859:Warfarin