| Autor: |
Flato UA; Hospital Villa Lobos, Rua Artur de Almeida 167, Vila Mariana, São Paulo, SP, Brazil. uriflato@cardiol.br, Rheder PS, Guimarães HP, Flato ES, Cretella P |
| Jazyk: |
English; Portuguese; Spanish; Castilian |
| Zdroj: |
Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2009 Jan; Vol. 92 (1), pp. e1-3. |
| DOI: |
10.1590/s0066-782x2009000100013 |
| Abstrakt: |
Spinal subdural hematoma (SSDH) is a rare condition, which is difficult to diagnose, related to Vitamin K Antagonist. This a case report of a life-threatening situation in a octogenarian patient with a history of recent atrial fibrillation that received K-Vitamin Antagonist (KVA) therapy. The history and the clinical assessment were normal at the admission, associated with increase in the coagulation parameters (INR >10). Twenty-four hours after the admission, the patient developed progressive tetraparesis and a Magnetic Resonance Imaging (MRI) was performed, disclosing the evidence of a SSDH (Figure 1). An emergency neurosurgical intervention was performed associated with normalization of the coagulation parameters. After the procedure, the patient presented improvement of the neurological symptoms. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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