Spontaneous spinal subdural hematoma.
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1530 |
Resumo: | 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. |
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Spontaneous spinal subdural hematoma.Hematoma subdural dorsal espontâneo.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.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.Ordem dos Médicos2011-12-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1530oai:ojs.www.actamedicaportuguesa.com:article/1530Acta Médica Portuguesa; Vol. 24 (2011): Suplemento 3; 725-8Acta Médica Portuguesa; Vol. 24 (2011): Suplemento 3; 725-81646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1530https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1530/1115Alpoim, BrunoRodrigues, MariaSilva, PedroCarvalho, BrunoPereira, PauloVaz, Ruiinfo:eu-repo/semantics/openAccess2022-12-20T10:58:02Zoai:ojs.www.actamedicaportuguesa.com:article/1530Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:17:12.703021Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Spontaneous spinal subdural hematoma. Hematoma subdural dorsal espontâneo. |
title |
Spontaneous spinal subdural hematoma. |
spellingShingle |
Spontaneous spinal subdural hematoma. Alpoim, Bruno |
title_short |
Spontaneous spinal subdural hematoma. |
title_full |
Spontaneous spinal subdural hematoma. |
title_fullStr |
Spontaneous spinal subdural hematoma. |
title_full_unstemmed |
Spontaneous spinal subdural hematoma. |
title_sort |
Spontaneous spinal subdural hematoma. |
author |
Alpoim, Bruno |
author_facet |
Alpoim, Bruno Rodrigues, Maria Silva, Pedro Carvalho, Bruno Pereira, Paulo Vaz, Rui |
author_role |
author |
author2 |
Rodrigues, Maria Silva, Pedro Carvalho, Bruno Pereira, Paulo Vaz, Rui |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Alpoim, Bruno Rodrigues, Maria Silva, Pedro Carvalho, Bruno Pereira, Paulo Vaz, Rui |
description |
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. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-12-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1530 oai:ojs.www.actamedicaportuguesa.com:article/1530 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1530 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/1530 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1530 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1530/1115 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 24 (2011): Suplemento 3; 725-8 Acta Médica Portuguesa; Vol. 24 (2011): Suplemento 3; 725-8 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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