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Non traumatic spinal epidural haematoma
N A Khalid1, N Shah2
1MBBS, MRCP Specialist registrar, Geriatric medicine/General Internal Medicine. University hospitals of Leicester NHS trust. Leicester Royal Infirmary.
Abstract:
Spinal epidural haematoma is a rare condition, which may be due to trauma, surgery, epidural catheterisation or disorders of coagulation. We report a case of 60 year old lady who was on warfarin for Atrial fibrillation (AF) presented with history of non-traumatic sudden onset pain in both legs and difficulty in walking. Magnetic resonance imaging (MRI) spine demonstrated epidural haematoma which was treated conservatively. Another dilemma was anticoagulation for AF. We examine the options to manage such case.
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