Spinal Kord Hasarına Sebep Olan Spinal Epidural Hematom

Berke Aras, Serdar Kesikburun, Emre Adıgüzel, Bilge Yılmaz
2019 Türk Nöroloji Dergisi  
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 epidural
more » ... al epidural hematoma on the dorsal side of the spinal canal between L1 and L5 ( Figure 1A , 1B). The patient underwent total laminectomy between L1 and L5, three days after the onset of symptoms. A 48-year-old man, who had been receiving warfarin treatment due to mitral valve replacement surgery three years Ad dress for Cor res pon den ce/Ya z›fl ma Ad re si: Figure 1. A, B) Sagittal view of the computed tomography scan of the lumbar spine showing the hematoma in the extradural space compressing the spinal cord.
doi:10.4274/tnd.galenos.2018.39114 fatcat:bw4fzv43rzhuzmz32n5ne3q5bu