Spinal epidural hematoma in a patient on anticoagulation treatment with warfarin. A case report

Authors

Keywords:

hematoma, epidural, spinal, spontaneous, Warfarin

Abstract

Introduction: spontaneous epidural hematoma is a rare condition that may be accompanied by spinal cord compression. It can be caused by several factors, one of which is poor control of oral anticoagulants.
Patient information: 57-year-old female patient, with a history of mitral valve insufficiency, with anticoagulant treatment with warfarin, who was taken to the Emergency Room of the “Arnaldo Milián Castro” Hospital due to numbness in both lower limbs; physical examination revealed asymmetric paraparesis, exalted osteotendinous aquilean and patellar reflexes (+2), left Babinsky reflex and dorsal sensory level 6-7.
Conclusions: spinal epidural hematoma is a disease causing acute spinal cord compression that requires immediate diagnosis and urgent surgical treatment.

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Author Biographies

Maryla Martínez-Fortún Amador, Instituto Nacional de Oncología y Radiobiología

Especialista en I Grado en Medicina General Integral. Especialista en II Grado en Imagenología. Profesora Auxiliar en la Universidad de Ciencias Médicas de La Habana.

Marcos Luis García, Hospital Provincial Clínico Quirúrgico Universitario "Arnaldo Milián Castro"

Especialista en I y II Grado en Neurología. Profesor Auxiliar en la Universidad de Ciencias Médicas de Villa Clara.

Suyen Jiménez Cruz, Hospital Provincial Clínico Quirúrgico Universitario "Arnaldo Milián Castro"

Especialista en I Grado en Medicina General Integral. Especialista en I Grado en Imagenología.

Yuniesky Hernández González, Hospital Provincial Clínico Quirúrgico Universitario "Arnaldo Milián Castro"

Especialista en I Grado en Medicina General Integral. Especialista en I Grado en Imagenología. Profesor Instructor en la Universidad de Ciencias Médicas de Villa Clara.

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Published

2022-05-30

How to Cite

1.
Martínez-Fortún Amador M, Luis García M, Jiménez Cruz S, Hernández González Y. Spinal epidural hematoma in a patient on anticoagulation treatment with warfarin. A case report. Acta Méd Centro [Internet]. 2022 May 30 [cited 2025 Jul. 10];16(3):557-62. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/1667

Issue

Vol. 16 No. 3 (2022): July-September

Section

Case Reports

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