Hematomyelia during anticoagulant therapy

Anticoagulant Induced Conus Hematomyelia with Subarachnoid Extension.

“…There are few case reports of anticoagulant induced subdural hematomas but intramedullary hematomas (hematomyelia's) are very rare. 2,4,61,[3][4][5]7,8 Anticoagulant induced intramedullary hematoma in the conus region is very rare and , as per our knowledge, only one case of anticoagulant induced conus hematomyelia has been reported in the literature. www.iosrjournals.org 71 | Page intramedullary hematomas.…”

“…4 Anticoagulant induced hematomyelia's are very rare and only one case of anticoagulant induced conus hematomyelia is reported in the literature. 3,7 Here in we report a case of conus hematomyelia with subarachnoid extension who had excellent neurological recovery after surgical evacuation.…”

Acute Painless Progressive Quadriplegia Associated With Warfarin Use

“…A review of Medline and reference lists of relevant papers revealed six previous reports of hematomyelia associated with oral anticoagulant use in the thoracic spinal cord 2–7 and three in the cervical cord 1,8,9 . Unlike this patient, all nine previous cases (aged 4–81) presented with a combination of pain and weakness.…”

Warfarin-associated Hematomyelia

“…Very few cases of atraumatic hematomyelia linked to oral anticoagulant therapy have been reported (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). Of note, the patient described by Suzuki and colleagues was receiving combined treatment with warfarin and aspirin (14), which greatly increases the risk of bleeding into the central nervous system including the development of spinal hemorrhage and hematomyelia.…”

“…Of note, the patient described by Suzuki and colleagues was receiving combined treatment with warfarin and aspirin (14), which greatly increases the risk of bleeding into the central nervous system including the development of spinal hemorrhage and hematomyelia. Bleeding into the thoracic cord occurred in most of the reported patients with anticoagulantassociated hematomyelia however, whether this finding represents a chance occurrence or rather points to an increased bleeding propensity into the thoracic, as compared to the cervical, cord is unclear (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14).…”