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A 63-year-old male presented with a three day history of flaccid paraparesis and sensory loss in both lower extremities and urinary incontinence. There was no history of trauma or physical exertion. He had been on warfarin therapy for eight years due to aortic valve replacement. The prothrombin time international normalized ratio (PT-INR) was 1.7. No hereditary condition predisposing to bleeding was established in the laboratory tests. Computed tomography (CT) revealed a spinal epiduraldoi:10.4274/tnd.galenos.2018.39114 fatcat:bw4fzv43rzhuzmz32n5ne3q5bu