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

作者：Yabe Hiroki; Ishii Akira; Niikawa Naoko; Matsubayashi Hiroshi; Kakei Masafumi; Kawakami Masanobu; Sugawara Hitoshi^*

来源：Internal Medicine, 2012, 51(11): 1429-1432.

DOI：10.2169/internalmedicine.51.6923

• spontaneous spinal epidural hematoma
• anticoagulant therapy
• elderly
• warfarin

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.

• 出版日期2012