Spontaneous spinal extradural hematoma. A rare complication during anticoagulant therapy

A 42-year-old woman with metallic valve prosthesis in aortic position, in use of oral anticoagulant, presented a sudden syndrome of medullary compression, characterized by intense dorsal pain and partial paralysis of the inferior portion of the body, progressing to flaccid paraplegia of the arms and...

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Bibliographic Details
Published inArquivos brasileiros de cardiologia Vol. 62; no. 2; p. 113
Main Authors Delgadinho, W M, Caberlin, S R, Mazzali, M, Oliveira, M R, Morisco, L C
Format Journal Article
LanguagePortuguese
Published Brazil 01.02.1994
Subjects
Adult
Anticoagulants - adverse effects
Female
Hematoma - diagnosis
Hematoma - etiology
Hematoma - surgery
Humans
Laminectomy
Magnetic Resonance Imaging
Prothrombin Time
Quadriplegia - etiology
Spinal Cord Compression - etiology
Spinal Cord Compression - surgery
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Summary:A 42-year-old woman with metallic valve prosthesis in aortic position, in use of oral anticoagulant, presented a sudden syndrome of medullary compression, characterized by intense dorsal pain and partial paralysis of the inferior portion of the body, progressing to flaccid paraplegia of the arms and legs with level of sensibility in T-2. Large extradural spinal hematoma of the thoracic spine was diagnosed by magnetic resonance with medulla compression in the proximal portion. The patient was underwent to surgery (decompressive laminectomy), however with little motricity improvement and the level of sensibility. Due to respiratory insufficiency the patient died.
ISSN:0066-782X