Abstract | BACKGROUND: METHODS: Case report. FINDINGS: An 82-year-old woman with acquired Factor X deficiency complained of sudden onset of severe posterior neck pain. Magnetic resonance imaging demonstrated an epidural hematoma from C3 to T3 levels. Because she showed tetraparesis on the third hospital day, we performed surgery. Just before surgery, her prothrombin time-international normalized ratio was 2.49, which was immediately reversed by infusion of prothrombin complex concentrate. The patient safely underwent an emergency laminectomy from C3 to T2, in which the epidural hematoma was evacuated. Post-operatively, the patient recovered completely without rebleeding. Hematologists found acquired deficiency of Factor X in this patient with systemic amyloid light-chain amyloidosis. CONCLUSION:
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Authors | Hidetaka Arishima, Ayumi Tada, Makoto Isozaki, Ryuhei Kitai, Toshiaki Kodera, Ken-ichiro Kikuta, Katsunori Tai, Hiromichi Iwasaki |
Journal | The journal of spinal cord medicine
(J Spinal Cord Med)
Vol. 38
Issue 5
Pg. 641-4
(Sep 2015)
ISSN: 1079-0268 [Print] England |
PMID | 24974738
(Publication Type: Case Reports, Journal Article)
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Topics |
- Aged, 80 and over
- Amyloidosis
(complications)
- Factor X Deficiency
(complications, etiology)
- Female
- Hematoma, Epidural, Spinal
(etiology, surgery)
- Humans
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