An elderly patient who developed spontaneous spinal epidural hematoma during warfarin therapy.

Abstract

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.

• Authors: Hiroki Yabe, Akira Ishii, Naoko Niikawa, Hiroshi Matsubayashi, Masafumi Kakei, Masanobu Kawakami, Hitoshi Sugawara
• Journal: Internal medicine (Tokyo, Japan) (Intern Med) Vol. 51 Issue 11 Pg. 1429-32 ( 2012) ISSN: 1349-7235 [Electronic] Japan
• PMID: 22687856 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anticoagulants
• Warfarin

Topics

• Aged
• Aged, 80 and over
• Anticoagulants (adverse effects)
• Atrial Fibrillation (drug therapy)
• Hematoma, Epidural, Spinal (diagnosis, etiology)
• Humans
• Magnetic Resonance Imaging
• Male
• Warfarin (adverse effects)