Thoracic intramedullary haematoma as a complication of warfarin: case report and literature review |
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Authors: | M A Murphy D H Nye |
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Affiliation: | Neurosurgical Unit, St Vincent's Hospital, Fitzroy, Victoria, Australia. |
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Abstract: | Spontaneous intraspinal haematomas due to anticoagulants are uncommon, and usually extradural or subdural. Intramedullary haematomas are particularly rare, and only two case reports were found in the literature. We report a case of a thoracic intramedullary haemorrhage in a 61 year old man who had been commenced on warfarin 1 month previously, following aortic valve replacement. The literature is reviewed and reversal of warfarin effects, imaging and recommendations for treatment are discussed. |
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