An Elderly Patient who Developed Spontaneous Spinal Epidural Hematoma during Warfarin Therapy

Hiroki Yabe; Akira Ishii; Naoko Niikawa; Hiroshi Matsubayashi; Masafumi Kakei; Masanobu Kawakami; Hitoshi Sugawara

doi:10.2169/internalmedicine.51.6923

CASE REPORTS

An Elderly Patient who Developed Spontaneous Spinal Epidural Hematoma during Warfarin Therapy

Hiroki Yabe, Akira Ishii, Naoko Niikawa, Hiroshi Matsubayashi, Masafumi Kakei, Masanobu Kawakami, Hitoshi Sugawara

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Keywords: spontaneous spinal epidural hematoma, anticoagulant therapy, elderly, warfarin

JOURNAL OPEN ACCESS

2012 Volume 51 Issue 11 Pages 1429-1432

DOI https://doi.org/10.2169/internalmedicine.51.6923

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Abstract

Spontaneous spinal epidural hematoma (SSEH) is an uncommon but clinically important disease, and delayed diagnosis of this condition can have severe consequences. General physicians should consider the possibility of SSEH when they encounter a patient with a sudden onset of unexplained cervical or back pain or subsequent radicular symptoms during anticoagulant therapy. Immediate magnetic resonance imaging is essential for early diagnosis. In this article, we present a rare case of an 80-year-old man who developed cervical SSEH during warfarin therapy.

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