Hematoma subdural dorsal espontâneo.
Spontaneous spinal subdural hematomas are rare and may be caused by vascular malformations or bleeding disorders. The diagnosis is based on the conjunction of clinical examination with imaging studies, being MRI the gold standard in detection and surgical planning. The authors report the case of a p...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ordem dos Médicos
2011-12-01
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| Series: | Acta Médica Portuguesa |
| Online Access: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1530 |
| _version_ | 1797996229082218496 |
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| author | Bruno Alpoim Maria Rodrigues Pedro Silva Bruno Carvalho Paulo Pereira Rui Vaz |
| author_facet | Bruno Alpoim Maria Rodrigues Pedro Silva Bruno Carvalho Paulo Pereira Rui Vaz |
| author_sort | Bruno Alpoim |
| collection | DOAJ |
| description | Spontaneous spinal subdural hematomas are rare and may be caused by vascular malformations or bleeding disorders. The diagnosis is based on the conjunction of clinical examination with imaging studies, being MRI the gold standard in detection and surgical planning. The authors report the case of a patient on anticoagulant therapy in the context of atrial fibrillation and mechanical prosthetic mitral and tricuspid valves, presenting with sudden onset of dorsal pain radiated to both lower limbs, paresthesias and progressive paraparesis. The impossibility to perform MRI (because the mechanical valve prostheses) hindered the diagnosis of acute spontaneous subdural hematoma. After reversal of the anticoagulation and surgical treatment, clinical course was favorable with neurological recovery. |
| first_indexed | 2024-04-11T10:14:26Z |
| format | Article |
| id | doaj.art-bc90c4f54f2243699dbc4b3fcd129fc5 |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-11T10:14:26Z |
| publishDate | 2011-12-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-bc90c4f54f2243699dbc4b3fcd129fc52022-12-22T04:30:00ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582011-12-012410.20344/amp.1530Hematoma subdural dorsal espontâneo.Bruno Alpoim0Maria RodriguesPedro SilvaBruno CarvalhoPaulo PereiraRui VazServiço de Ortopedia e Traumatologia, Unidade Local de Saúde do Alto Minho, Viana Castelo, Portugal.Spontaneous spinal subdural hematomas are rare and may be caused by vascular malformations or bleeding disorders. The diagnosis is based on the conjunction of clinical examination with imaging studies, being MRI the gold standard in detection and surgical planning. The authors report the case of a patient on anticoagulant therapy in the context of atrial fibrillation and mechanical prosthetic mitral and tricuspid valves, presenting with sudden onset of dorsal pain radiated to both lower limbs, paresthesias and progressive paraparesis. The impossibility to perform MRI (because the mechanical valve prostheses) hindered the diagnosis of acute spontaneous subdural hematoma. After reversal of the anticoagulation and surgical treatment, clinical course was favorable with neurological recovery.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1530 |
| spellingShingle | Bruno Alpoim Maria Rodrigues Pedro Silva Bruno Carvalho Paulo Pereira Rui Vaz Hematoma subdural dorsal espontâneo. Acta Médica Portuguesa |
| title | Hematoma subdural dorsal espontâneo. |
| title_full | Hematoma subdural dorsal espontâneo. |
| title_fullStr | Hematoma subdural dorsal espontâneo. |
| title_full_unstemmed | Hematoma subdural dorsal espontâneo. |
| title_short | Hematoma subdural dorsal espontâneo. |
| title_sort | hematoma subdural dorsal espontaneo |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1530 |
| work_keys_str_mv | AT brunoalpoim hematomasubduraldorsalespontaneo AT mariarodrigues hematomasubduraldorsalespontaneo AT pedrosilva hematomasubduraldorsalespontaneo AT brunocarvalho hematomasubduraldorsalespontaneo AT paulopereira hematomasubduraldorsalespontaneo AT ruivaz hematomasubduraldorsalespontaneo |