Spontaneous Spinal Haemorrhage as a Complication of Oral Anticoagulant Therapy: A Case Report and Literature Review
Spinal cord haematoma, or haematomyelia, is a rare condition caused by several unusual disease processes. Traumatic events, such as spinal cord injury and surgery or procedures involving the spinal cord, are the most important causes of spinal cord haematoma. Rarely, it is associated with anticoagul...
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doaj-21c24f5451bc454d874e08c3d992475d2020-11-25T00:10:21ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942018-12-0110.12890/2018_000887887Spontaneous Spinal Haemorrhage as a Complication of Oral Anticoagulant Therapy: A Case Report and Literature ReviewAna Patricia Castanheira Gomes0Eduardo Cernadas1Juliana Sá2Helena Brito3Ricardo Costa4Internal Medicine Department, Centro Hospitalar Cova da Beira, EPE, Covilhã, PortugalInternal Medicine Department, Centro Hospitalar Cova da Beira, EPE, Covilhã, PortugalInternal Medicine Department, Centro Hospitalar Cova da Beira, EPE, Covilhã, PortugalEmergency Department, Centro Hospitalar Cova da Beira, Covilhã, PortugalEmergency Department, Centro Hospitalar Cova da Beira, Covilhã, PortugalSpinal cord haematoma, or haematomyelia, is a rare condition caused by several unusual disease processes. Traumatic events, such as spinal cord injury and surgery or procedures involving the spinal cord, are the most important causes of spinal cord haematoma. Rarely, it is associated with anticoagulation therapy. Irrespective of cause, spinal cord haematoma is considered a neurosurgical emergency and must be treated promptly in order to prevent neurological sequelae. The authors describe the case of a 69-year-old patient taking warfarin in the therapeutic range for a mechanic mitral valve, who developed chest pain with cervical and dorsal radiation, and experienced sudden paraparesis of the limbs. A CT of the spine confirmed haematomyelia. A high index of suspicion, prompt recognition and immediate intervention are essential to prevent major morbidity and mortality from intraspinal haemorrhage.https://www.ejcrim.com/index.php/EJCRIM/article/view/887Hematomyeliawarfarinlaminectomyepidural hematomaspinal hematomaspinal cord compressionmyelopathyspinal cord diseaseneurologic defect |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ana Patricia Castanheira Gomes Eduardo Cernadas Juliana Sá Helena Brito Ricardo Costa |
spellingShingle |
Ana Patricia Castanheira Gomes Eduardo Cernadas Juliana Sá Helena Brito Ricardo Costa Spontaneous Spinal Haemorrhage as a Complication of Oral Anticoagulant Therapy: A Case Report and Literature Review European Journal of Case Reports in Internal Medicine Hematomyelia warfarin laminectomy epidural hematoma spinal hematoma spinal cord compression myelopathy spinal cord disease neurologic defect |
author_facet |
Ana Patricia Castanheira Gomes Eduardo Cernadas Juliana Sá Helena Brito Ricardo Costa |
author_sort |
Ana Patricia Castanheira Gomes |
title |
Spontaneous Spinal Haemorrhage as a Complication of Oral Anticoagulant Therapy: A Case Report and Literature Review |
title_short |
Spontaneous Spinal Haemorrhage as a Complication of Oral Anticoagulant Therapy: A Case Report and Literature Review |
title_full |
Spontaneous Spinal Haemorrhage as a Complication of Oral Anticoagulant Therapy: A Case Report and Literature Review |
title_fullStr |
Spontaneous Spinal Haemorrhage as a Complication of Oral Anticoagulant Therapy: A Case Report and Literature Review |
title_full_unstemmed |
Spontaneous Spinal Haemorrhage as a Complication of Oral Anticoagulant Therapy: A Case Report and Literature Review |
title_sort |
spontaneous spinal haemorrhage as a complication of oral anticoagulant therapy: a case report and literature review |
publisher |
SMC MEDIA SRL |
series |
European Journal of Case Reports in Internal Medicine |
issn |
2284-2594 |
publishDate |
2018-12-01 |
description |
Spinal cord haematoma, or haematomyelia, is a rare condition caused by several unusual disease processes. Traumatic events, such as spinal cord injury and surgery or procedures involving the spinal cord, are the most important causes of spinal cord haematoma. Rarely, it is associated with anticoagulation therapy. Irrespective of cause, spinal cord haematoma is considered a neurosurgical emergency and must be treated promptly in order to prevent neurological sequelae. The authors describe the case of a 69-year-old patient taking warfarin in the therapeutic range for a mechanic mitral valve, who developed chest pain with cervical and dorsal radiation, and experienced sudden paraparesis of the limbs. A CT of the spine confirmed haematomyelia. A high index of suspicion, prompt recognition and immediate intervention are essential to prevent major morbidity and mortality from intraspinal haemorrhage. |
topic |
Hematomyelia warfarin laminectomy epidural hematoma spinal hematoma spinal cord compression myelopathy spinal cord disease neurologic defect |
url |
https://www.ejcrim.com/index.php/EJCRIM/article/view/887 |
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