dicumarol and Spinal-Cord-Diseases

A case of lumbar spinal subdural hematoma in a patient who had been on anticoagulant therapy is reported. Thus far 19 cases of spinal subdural hematoma have been reported in the literature, the majority in patients with a bleeding diathesis and after a lumbar puncture. Our case is the third reported to be in association with anticoagulant therapy. The hematoma was lumbosacral, in contrast to the usual location in the dorsal-lumbar area. A possible mechanism for the production of spinal subdural hematoma after a lumbar puncture is discussed. An early decompressive laminectomy and evacuation of the hematoma is the recommended treatment to obtain the best possible recovery of neurological function. (Neurosurgery, 5: 614--616, 1979).

Topics: Dicumarol; Female; Hematoma, Subdural; Humans; Middle Aged; Spinal Cord Diseases; Spinal Puncture

Ten cases of subdural hematoma and one case of spinal epidural hematoma encountered in patients who were receiving anticoagulant therapy are discussed.This surprisingly large number of complications was observed within three years in a single hospital and represents 36.6% of all chronic and subacute subdural hematomas seen during the same period. The cases are analyzed and the conclusion reached that the causal relationship between anticoagulant therapy and hemorrhage cannot be denied.Suggestions are made as to how to decrease the danger of such complications.

Topics: Adult; Aged; Anticoagulants; Cerebrovascular Disorders; Craniocerebral Trauma; Dicumarol; Female; Hematoma, Epidural, Cranial; Hematoma, Subdural; Humans; Male; Middle Aged; Myocardial Infarction; Phlebitis; Recurrence; Spinal Cord Diseases; Spinal Cord Injuries

Topics: Anticoagulants; Cerebral Hemorrhage; Dicumarol; Drug Antagonism; Hematoma; Hematoma, Subdural; Humans; Middle Aged; Spinal Cord Diseases; Thromboembolism; Time Factors

Topics: Dicumarol; Humans; Spinal Cord Diseases