Journal
ARQUIVOS BRASILEIROS DE CARDIOLOGIA
Volume 92, Issue 1, Pages E1-E3Publisher
ARQUIVOS BRASILEIROS CARDIOLOGIA
DOI: 10.1590/S0066-782X2009000100013
Keywords
Hematoma, subdural spinal; spinal cord; blood coagulation
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Spinal subdural hematoma (SSDH) is a rare condition, which is difficult to diagnose, related to Vitamin K Antagonist. This a case report of a life-threatening situation in a octogenarian patient with a history of recent atrial fibrillation that received K-Vitamin Antagonist (KVA) therapy. The history and the clinical assessment were normal at the admission, associated with increase in the coagulation parameters (INR > 10). Twenty-four hours after the admission, the patient developed progressive tetraparesis and a Magnetic Resonance Imaging (MRI) was performed, disclosing the evidence of a SSDH (Figure 1). An emergency neurosurgical intervention was performed associated with normalization of the coagulation parameters. After the procedure, the patient presented improvement of the neurological symptoms.
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