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Atypical Presentation of Atraumatic Spinal Subdural Hematoma Associated with Warfarin: A Case Report and Review of the Literature
Joint Authors
Desai, Khusboo
Arain, Abdul Rehman
Moral, Muhammad
Shams, Saadia
Kalsa, Khunwar
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-05-20
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Nontraumatic spinal subdural hematomas secondary to anticoagulants are remarkably rare.
A case of spontaneous, atraumatic subdural hematoma involving the thoracic region in an 80-year-old woman on warfarin is reported.
The patient presented with gross motor and sensory loss, delayed onset of incontinence, and no other symptoms.
An MRI suggested an epidural hematoma concentrated around the T4-T9 levels.
She was taken emergently to the OR approximately 30 hours after the initial onset of symptoms for a T3-T11 laminectomy.
No epidural hematoma was noted.
However, discoloration and bulging of the thecal sac were noted, and the dura was incised longitudinally from T2 to T10 revealing an expansive jelly-like blood clot which was evacuated.
Postoperatively, the patient had regained 1/2 sensory function in the bilateral lower extremities.
At the 2-week mark, the patient was still incontinent and showed 2/2 sensory and 2/5 motor functions in select muscle groups in her bilateral lower extremities.
Completely nontraumatic, spontaneous subdural hematomas of the spine are very rare, and early surgical decompression within 24 hours from symptom onset may allow neurological recovery.
Large extensive laminectomies up to 10 thoracic levels have been shown to be safe and effective in a few cases, including our case.
American Psychological Association (APA)
Arain, Abdul Rehman& Moral, Muhammad& Shams, Saadia& Desai, Khusboo& Kalsa, Khunwar. 2019. Atypical Presentation of Atraumatic Spinal Subdural Hematoma Associated with Warfarin: A Case Report and Review of the Literature. Case Reports in Orthopedics،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1142610
Modern Language Association (MLA)
Arain, Abdul Rehman…[et al.]. Atypical Presentation of Atraumatic Spinal Subdural Hematoma Associated with Warfarin: A Case Report and Review of the Literature. Case Reports in Orthopedics No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1142610
American Medical Association (AMA)
Arain, Abdul Rehman& Moral, Muhammad& Shams, Saadia& Desai, Khusboo& Kalsa, Khunwar. Atypical Presentation of Atraumatic Spinal Subdural Hematoma Associated with Warfarin: A Case Report and Review of the Literature. Case Reports in Orthopedics. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1142610
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1142610