Intraspinal epidural hematoma in a warfarinized patient presenting with back pain : a case report
Warfarin is an anticoagulant that is commonly used as thrombo-prophylaxis in patients at risk of thrombo-embolic events. However, the use of warfarin is known to cause hemorrhage due to its anticoagulation effect. Although the common sites of hemorrhage are gastrointestinal and genitourinary t...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2018
|
| Online Access: | http://journalarticle.ukm.my/20621/ http://journalarticle.ukm.my/20621/1/20_ms0228_pdf_56930.pdf |
| _version_ | 1848815151206105088 |
|---|---|
| author | Jolina WN, Dazlin Masdiana Sabardin, Afliza AB, |
| author_facet | Jolina WN, Dazlin Masdiana Sabardin, Afliza AB, |
| author_sort | Jolina WN, |
| building | UKM Institutional Repository |
| collection | Online Access |
| description | Warfarin is an anticoagulant that is commonly used as thrombo-prophylaxis in
patients at risk of thrombo-embolic events. However, the use of warfarin is known
to cause hemorrhage due to its anticoagulation effect. Although the common sites
of hemorrhage are gastrointestinal and genitourinary tract, it can also occur in
the least expected location. We report a rare case of spinal cord compression
secondary to intraspinal epidural hematoma as a result of overwarfarinization in
a patient who had undergone liver transplant. The patient underwent emergency
decompression laminectomy of spinal cord and hematoma evacuation after the
reversal of overwarfarinization to normal levels. |
| first_indexed | 2025-11-15T00:45:25Z |
| format | Article |
| id | oai:generic.eprints.org:20621 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T00:45:25Z |
| publishDate | 2018 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org:206212022-11-28T13:12:40Z http://journalarticle.ukm.my/20621/ Intraspinal epidural hematoma in a warfarinized patient presenting with back pain : a case report Jolina WN, Dazlin Masdiana Sabardin, Afliza AB, Warfarin is an anticoagulant that is commonly used as thrombo-prophylaxis in patients at risk of thrombo-embolic events. However, the use of warfarin is known to cause hemorrhage due to its anticoagulation effect. Although the common sites of hemorrhage are gastrointestinal and genitourinary tract, it can also occur in the least expected location. We report a rare case of spinal cord compression secondary to intraspinal epidural hematoma as a result of overwarfarinization in a patient who had undergone liver transplant. The patient underwent emergency decompression laminectomy of spinal cord and hematoma evacuation after the reversal of overwarfarinization to normal levels. Pusat Perubatan Universiti Kebangsaan Malaysia 2018 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/20621/1/20_ms0228_pdf_56930.pdf Jolina WN, and Dazlin Masdiana Sabardin, and Afliza AB, (2018) Intraspinal epidural hematoma in a warfarinized patient presenting with back pain : a case report. Medicine & Health, 13 (2). pp. 188-194. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/13/2 |
| spellingShingle | Jolina WN, Dazlin Masdiana Sabardin, Afliza AB, Intraspinal epidural hematoma in a warfarinized patient presenting with back pain : a case report |
| title | Intraspinal epidural hematoma in a warfarinized patient presenting with back pain : a case report |
| title_full | Intraspinal epidural hematoma in a warfarinized patient presenting with back pain : a case report |
| title_fullStr | Intraspinal epidural hematoma in a warfarinized patient presenting with back pain : a case report |
| title_full_unstemmed | Intraspinal epidural hematoma in a warfarinized patient presenting with back pain : a case report |
| title_short | Intraspinal epidural hematoma in a warfarinized patient presenting with back pain : a case report |
| title_sort | intraspinal epidural hematoma in a warfarinized patient presenting with back pain : a case report |
| url | http://journalarticle.ukm.my/20621/ http://journalarticle.ukm.my/20621/ http://journalarticle.ukm.my/20621/1/20_ms0228_pdf_56930.pdf |