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Spinal epidural hematoma associated with oral anticoagulation therapy.
Am J Phys Med Rehabil. 2004 Mar; 83(3):220-3.AJ

Abstract

Spontaneous spinal epidural hematoma is an uncommon cause of spinal cord compression. It may be associated with various causative factors, but in many patients, anticoagulation can be implicated. It is noteworthy that many of the reported cases were anticoagulated in the therapeutic range. Spontaneous spinal epidural hematoma should be suspected in any patient receiving anticoagulant agents who complains of local or referred spinal pain associated with limb weakness, sensory deficits, or urinary retention. Early diagnosis and treatment are very important for the functional recovery of the patient. Spinal magnetic resonance imaging is the most suitable neuroradiological method for early diagnosis. Although primary management is the surgical evacuation of the spinal epidural hematoma via laminectomy, rare cases in which the patient is improving rapidly and progressively could be treated conservatively. A 22-yr-old man with a spontaneous spinal epidural hematoma who was receiving warfarin treatment for a mechanical aortic valve is presented in this article.

Authors+Show Affiliations

Department of Physical Medicine and Rehabilitation, Medical Faculty of Ege University, Bornova-Izmir, Turkey.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15043358

Citation

Kirazli, Yesim, et al. "Spinal Epidural Hematoma Associated With Oral Anticoagulation Therapy." American Journal of Physical Medicine & Rehabilitation, vol. 83, no. 3, 2004, pp. 220-3.
Kirazli Y, Akkoc Y, Kanyilmaz S. Spinal epidural hematoma associated with oral anticoagulation therapy. Am J Phys Med Rehabil. 2004;83(3):220-3.
Kirazli, Y., Akkoc, Y., & Kanyilmaz, S. (2004). Spinal epidural hematoma associated with oral anticoagulation therapy. American Journal of Physical Medicine & Rehabilitation, 83(3), 220-3.
Kirazli Y, Akkoc Y, Kanyilmaz S. Spinal Epidural Hematoma Associated With Oral Anticoagulation Therapy. Am J Phys Med Rehabil. 2004;83(3):220-3. PubMed PMID: 15043358.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spinal epidural hematoma associated with oral anticoagulation therapy. AU - Kirazli,Yesim, AU - Akkoc,Yesim, AU - Kanyilmaz,Selcen, PY - 2004/3/27/pubmed PY - 2004/4/24/medline PY - 2004/3/27/entrez SP - 220 EP - 3 JF - American journal of physical medicine & rehabilitation JO - Am J Phys Med Rehabil VL - 83 IS - 3 N2 - Spontaneous spinal epidural hematoma is an uncommon cause of spinal cord compression. It may be associated with various causative factors, but in many patients, anticoagulation can be implicated. It is noteworthy that many of the reported cases were anticoagulated in the therapeutic range. Spontaneous spinal epidural hematoma should be suspected in any patient receiving anticoagulant agents who complains of local or referred spinal pain associated with limb weakness, sensory deficits, or urinary retention. Early diagnosis and treatment are very important for the functional recovery of the patient. Spinal magnetic resonance imaging is the most suitable neuroradiological method for early diagnosis. Although primary management is the surgical evacuation of the spinal epidural hematoma via laminectomy, rare cases in which the patient is improving rapidly and progressively could be treated conservatively. A 22-yr-old man with a spontaneous spinal epidural hematoma who was receiving warfarin treatment for a mechanical aortic valve is presented in this article. SN - 0894-9115 UR - https://www.unboundmedicine.com/medline/citation/15043358/Spinal_epidural_hematoma_associated_with_oral_anticoagulation_therapy_ L2 - https://doi.org/10.1097/01.phm.0000107498.91919.44 DB - PRIME DP - Unbound Medicine ER -