Spontaneous chronic epidural hematoma in the lumbar spine associated with Warfarin intake: a case report.

IF 1.3 3区农林科学 Q2 ENTOMOLOGY Deutsche Entomologische Zeitschrift Pub Date : 2016-10-21 eCollection Date: 2016-01-01 DOI:10.1186/s40064-016-3546-x

Axel Sandvig, Håkan Jonsson

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Abstract

Introduction: Spontaneous spinal epidural hematomas are rare. However, in patients on anticoagulant treatment the risk may increase. Symptomatically patients may present with radiculopathy and even progressive neurological deficits.

Case description: We present a case of a warfarin treated patient with left L5 radiculopathy. MRI was evaluated as showing a lumbar disc prolapse or synovial cyst at L4-L5 level. The patient was operated and an organized material was removed and analysed as a hematoma. No prolapsed disc or synovial cyst was found. The patient was neurologically restored following the operation.

Discussion and evaluation: This case illustrates how spontaneous epidural spinal hematomas can present with symptoms of radiculopathy and radiologically be misinterpreted as a protruding disc or cyst.

Conclusion: Warfarin treated patients may have an increased risk of spontaneous spinal epidural hematomas.

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与服用华法林有关的腰椎自发性慢性硬膜外血肿：病例报告。

简介自发性脊柱硬膜外血肿非常罕见。然而，正在接受抗凝治疗的患者发生血肿的风险可能会增加。在症状上，患者可能会出现根神经病变，甚至进行性神经功能缺损：我们介绍了一例接受华法林治疗的左侧 L5 根性神经病患者。磁共振成像评估显示，L4-L5 水平存在腰椎间盘突出或滑膜囊肿。患者接受了手术，取出了有组织的物质，并作为血肿进行了分析。没有发现椎间盘突出或滑膜囊肿。术后患者神经功能恢复良好：本病例说明了自发性脊柱硬膜外血肿可表现为根性病变症状，但在放射学上被误诊为椎间盘突出或囊肿：结论：接受华法林治疗的患者可能会增加自发性脊柱硬膜外血肿的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Deutsche Entomologische Zeitschrift 生物-昆虫学

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： Founded in 1857 as Berliner Entomologische Zeitschrift, Deutsche Entomologische Zeitschrift is one of the World''s oldest international journals of systematic entomology. It publishes original research papers in English on the systematics, taxonomy, phylogeny, comparative morphology, and biogeography of insects. Other arthropods are also considered where of relevance to the biology of insects. The geographical scope of the journal is worldwide. Deutsche Entomologische Zeitschrift (DEZ) is dedicated to provide an open access, high-quality forum to contribute to the documentation of insect species, their distribution, their properties, and their phylogenetic relationships. All submitted manuscripts are subject to peer-review by the leading specialists for the respective topic. The journal is published in open access high-resolution PDF, semantically enriched HTML and machine-readable XML versions.