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Spontaneous spinal subdural hematoma.


 
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1. Title Title of document Spontaneous spinal subdural hematoma.
 
2. Creator Author's name, affiliation, country Bruno Alpoim; Serviço de Ortopedia e Traumatologia, Unidade Local de Saúde do Alto Minho, Viana Castelo, Portugal.; Portugal
 
2. Creator Author's name, affiliation, country Maria Rodrigues; Portugal
 
2. Creator Author's name, affiliation, country Pedro Silva; Portugal
 
2. Creator Author's name, affiliation, country Bruno Carvalho; Portugal
 
2. Creator Author's name, affiliation, country Paulo Pereira; Portugal
 
2. Creator Author's name, affiliation, country Rui Vaz; Portugal
 
3. Subject Discipline(s)
 
3. Subject Keyword(s)
 
4. Description Abstract 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.
 
5. Publisher Organizing agency, location Ordem dos Médicos
 
6. Contributor Sponsor(s)
 
7. Date (YYYY-MM-DD) 2011-12-30
 
8. Type Status & genre article
 
8. Type Type
 
9. Format File format PDF (Português)
 
10. Identifier Uniform Resource Identifier https://actamedicaportuguesa.com/revista/index.php/amp/article/view/1530
 
10. Identifier Digital Object Identifier (DOI) http://dx.doi.org/10.20344/amp.1530
 
11. Source Title; vol., no. (year) Acta Médica Portuguesa; Vol 24 (2011): Suplemento 3
 
12. Language English=en
 
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
 
15. Rights Copyright and permissions Copyright (c)