Dorsal Spinal Chronic Subdural Hematoma Complicating Warfarin/Asprin Anticoagulation Therapy: A Case Report Study.

Background Data: Spinal chronic subdural hematoma is an extremely rare condition nevertheless it can results in a disastrous neurological status.Purpose: To report a case of dorsal chronic subdural hematoma with acute paraplegia. Study Design: Case report. Methods: Our 61-year-old female patient pr...

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Autores principales:	Emad Ghanem, Ahmad Elayouty
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2012
Materias:	spinal chronic subdural hematoma dorsal spine warfarin Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/133d841c8789434fa7427bae430d1bb1
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spelling	oai:doaj.org-article:133d841c8789434fa7427bae430d1bb12021-12-02T04:03:26ZDorsal Spinal Chronic Subdural Hematoma Complicating Warfarin/Asprin Anticoagulation Therapy: A Case Report Study.DOI:10.21608/ESJ.2012.37632314-89502314-8969https://doaj.org/article/133d841c8789434fa7427bae430d1bb12012-01-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3763.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Spinal chronic subdural hematoma is an extremely rare condition nevertheless it can results in a disastrous neurological status.Purpose: To report a case of dorsal chronic subdural hematoma with acute paraplegia. Study Design: Case report. Methods: Our 61-year-old female patient presented with a one day history of sudden onset of motor weakness in both lower limbs. The patient had previous cerebrovascular ischemic attack two year earlier and combined aspirin (150 mg per day) and warfarin (10 mg per day) therapy was prescribed as secondary prophylaxis since that time. Dorsal spine MRI was done and it revealed an extensive dorsal spinal chronic subdural hematoma. Bleeding tendency was corrected over 24 hours and then a dorsal laminectomy was performed from D3 level down to D7 with evacuation of the hematoma about 60 hours after the onset of symptoms. Results: The patient showed no significant post operative clinical improvement mostly due to delayed presentation and a concomitant intramedullary bleeding. Conclusion: Delayed management and concomitant intramedullary pathology affect deleteriously the outcome of chronic spinal subdural hematoma.(2012ESJ009)Emad Ghanem Ahmad ElayoutyEgyptian Spine Associationarticlespinal chronic subdural hematomadorsal spinewarfarinNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 1, Iss 1, Pp 61-64 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	spinal chronic subdural hematoma dorsal spine warfarin Neurology. Diseases of the nervous system RC346-429
spellingShingle	spinal chronic subdural hematoma dorsal spine warfarin Neurology. Diseases of the nervous system RC346-429 Emad Ghanem Ahmad Elayouty Dorsal Spinal Chronic Subdural Hematoma Complicating Warfarin/Asprin Anticoagulation Therapy: A Case Report Study.
description	Background Data: Spinal chronic subdural hematoma is an extremely rare condition nevertheless it can results in a disastrous neurological status.Purpose: To report a case of dorsal chronic subdural hematoma with acute paraplegia. Study Design: Case report. Methods: Our 61-year-old female patient presented with a one day history of sudden onset of motor weakness in both lower limbs. The patient had previous cerebrovascular ischemic attack two year earlier and combined aspirin (150 mg per day) and warfarin (10 mg per day) therapy was prescribed as secondary prophylaxis since that time. Dorsal spine MRI was done and it revealed an extensive dorsal spinal chronic subdural hematoma. Bleeding tendency was corrected over 24 hours and then a dorsal laminectomy was performed from D3 level down to D7 with evacuation of the hematoma about 60 hours after the onset of symptoms. Results: The patient showed no significant post operative clinical improvement mostly due to delayed presentation and a concomitant intramedullary bleeding. Conclusion: Delayed management and concomitant intramedullary pathology affect deleteriously the outcome of chronic spinal subdural hematoma.(2012ESJ009)
format	article
author	Emad Ghanem Ahmad Elayouty
author_facet	Emad Ghanem Ahmad Elayouty
author_sort	Emad Ghanem
title	Dorsal Spinal Chronic Subdural Hematoma Complicating Warfarin/Asprin Anticoagulation Therapy: A Case Report Study.
title_short	Dorsal Spinal Chronic Subdural Hematoma Complicating Warfarin/Asprin Anticoagulation Therapy: A Case Report Study.
title_full	Dorsal Spinal Chronic Subdural Hematoma Complicating Warfarin/Asprin Anticoagulation Therapy: A Case Report Study.
title_fullStr	Dorsal Spinal Chronic Subdural Hematoma Complicating Warfarin/Asprin Anticoagulation Therapy: A Case Report Study.
title_full_unstemmed	Dorsal Spinal Chronic Subdural Hematoma Complicating Warfarin/Asprin Anticoagulation Therapy: A Case Report Study.
title_sort	dorsal spinal chronic subdural hematoma complicating warfarin/asprin anticoagulation therapy: a case report study.
publisher	Egyptian Spine Association
publishDate	2012
url	https://doaj.org/article/133d841c8789434fa7427bae430d1bb1
work_keys_str_mv	AT emadghanem dorsalspinalchronicsubduralhematomacomplicatingwarfarinasprinanticoagulationtherapyacasereportstudy AT ahmadelayouty dorsalspinalchronicsubduralhematomacomplicatingwarfarinasprinanticoagulationtherapyacasereportstudy
_version_	1718401413299568640

Dorsal Spinal Chronic Subdural Hematoma Complicating Warfarin/Asprin Anticoagulation Therapy: A Case Report Study.

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