Murphy M A, Nye D H
Neurosurgical Unit, St Vincent's Hospital, Fitzroy, Victoria, Australia.
Aust N Z J Surg. 1991 Oct;61(10):789-92.
Spontaneous intraspinal haematomas due to anticoagulants are uncommon, and usually extradural or subdural. Intramedullary haematomas are particularly rare, and only two case reports were found in the literature. We report a case of a thoracic intramedullary haemorrhage in a 61 year old man who had been commenced on warfarin 1 month previously, following aortic valve replacement. The literature is reviewed and reversal of warfarin effects, imaging and recommendations for treatment are discussed.
抗凝剂所致的自发性脊髓血肿并不常见，通常为硬膜外或硬膜下血肿。髓内血肿尤为罕见，文献中仅发现两例病例报告。我们报告一例61岁男性患者，在主动脉瓣置换术后1个月开始服用华法林，发生了胸段髓内出血。本文对相关文献进行了综述，并讨论了华法林作用的逆转、影像学检查及治疗建议。
