Presentation
Acute paraplegia, warfarin usage
Patient Data
Age: 50 years
Gender: Male
From the case:
Spinal epidural hematoma
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Extensive, acute epidural hematoma extending from C3 to T4 compressing the spinal cord. There is increased T2 signal within the cord, likely reflecting cord edema.
From the case:
Spinal epidural hematoma
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Post operative laminectomy demonstrates near complete evacuation with minimal blood product around the T3 level.
Case Discussion
Spontaneous epidural hemorrhage is an uncommon cause of spinal cord compression. There should be a higher index of suspicion in patients who are anticoagulated.
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