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Open Access Case Report

Spinal Subdural Haematoma in association with anticoagulant therapy, an unusual presentation: a case report and review of literature

Ravi Badge1* and Daniel Chan2

Author Affiliations

1 10 Holme Avenue, Swinley, Wigan WN1 2EH, UK

2 The Spinal Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon & Exeter Hospital, Exeter EX2 5DW, UK

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Cases Journal 2009, 2:151 doi:10.1186/1757-1626-2-151

Published: 12 October 2009

Abstract

A case of spontaneous, atraumatic subdural haematoma involving thoracic region in a 78-year-old woman on an anticoagulant therapy (Warfarin) for atrial fibrillation presented. This patient initially presented with sudden onset headache and giddiness (signs of increased intracranial pressure) followed by an acute onset neuro-deficit in lower limb. After appropriate investigations she was treated with an emergency surgical decompression of involved spinal segment. Post-operatively the patients had complete neurological recovery.