Intraspinal epidural hematoma in a warfarinized patient presenting with back pain : a case report
Warfarin is an anticoagulant that is commonly used as thrombo-prophylaxis in patients at risk of thrombo-embolic events. However, the use of warfarin is known to cause hemorrhage due to its anticoagulation effect. Although the common sites of hemorrhage are gastrointestinal and genitourinary t...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2018
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| Online Access: | http://journalarticle.ukm.my/20621/1/20_ms0228_pdf_56930.pdf http://journalarticle.ukm.my/20621/ https://www.medicineandhealthukm.com/toc/13/2 |
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| Summary: | Warfarin is an anticoagulant that is commonly used as thrombo-prophylaxis in
patients at risk of thrombo-embolic events. However, the use of warfarin is known
to cause hemorrhage due to its anticoagulation effect. Although the common sites
of hemorrhage are gastrointestinal and genitourinary tract, it can also occur in
the least expected location. We report a rare case of spinal cord compression
secondary to intraspinal epidural hematoma as a result of overwarfarinization in
a patient who had undergone liver transplant. The patient underwent emergency
decompression laminectomy of spinal cord and hematoma evacuation after the
reversal of overwarfarinization to normal levels. |
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