Anwar Fahim, Al Khayer Ahmad, Weir Alistair M
Spinal Injuries and Rehabilitation Medicine, Southern General Hospital, Glasgow.
J Pak Med Assoc. 2010 May;60(5):391-3.
A case of a large spinal epidural haematoma, in a 58 years old male, leading to paraplegia, in a patient on long-term warfarin treatment is presented. Magnetic Resonance imaging (MRI) of the whole spine showed extensive epidural spinal haematoma distal to C4 level surrounding and displacing the spinal cord and the nerve roots up to T2 level. Near complete neurological recovery followed surgical evacuation and multidisciplinary rehabilitation.
本文报告了一例58岁男性患者，因长期服用华法林导致大面积脊髓硬膜外血肿并截瘫的病例。全脊柱磁共振成像（MRI）显示，在C4水平以下有广泛的硬膜外脊髓血肿，血肿围绕脊髓和神经根直至T2水平，并使其移位。经手术清除血肿及多学科康复治疗后，患者神经功能几乎完全恢复。
