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[Cauda equina syndrome developing during anticoagulant therapy].

H L Nielsen, A E Rohold

    Ugeskrift for Laeger
    |July 31, 1989
    PubMed
    Summary

    Anticoagulation therapy in a 70-year-old woman with rheumatic heart disease led to cauda equina syndrome (CES) due to an intraspinal hematoma. The patient experienced permanent neurological deficits after the untreated CES.

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    Area of Science:

    • Neurology
    • Cardiology
    • Hematology

    Background:

    • Rheumatic heart disease is a significant cardiovascular condition.
    • Anticoagulation therapy is commonly used for managing cardiac conditions.
    • Cauda equina syndrome (CES) is a serious neurological condition.

    Observation:

    • A 70-year-old female patient with rheumatic heart disease was initiated on anticoagulation therapy.
    • Seven days after starting anticoagulation, the patient developed symptoms suggestive of cauda equina syndrome.
    • Investigations revealed an intraspinal hematoma with associated subarachnoid hemorrhage.

    Findings:

    • The patient's condition was deemed inoperable.
    • The cauda equina syndrome remained untreated.
    • The patient suffered permanent neurological deficits as a consequence of the untreated CES.

    Implications:

    • This case highlights a potential rare complication of anticoagulation therapy.
    • Prompt recognition and management of intraspinal hematomas are crucial.
    • Understanding the risks associated with anticoagulation in patients with specific comorbidities is important for clinical practice.

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