TY - JOUR PY - 1995// TI - Spontaneous spinal epidural hematoma in a patient with a mechanical aortic valve taking warfarin JO - Canadian journal of cardiology A1 - Maingi, M. A1 - Glynn, M. F. A1 - Scully, H. E. A1 - Graham, A. F. A1 - Floras, J. S. SP - 429 EP - 432 VL - 11 IS - 5 N2 - A 59-year-old male with a mechanical aortic valve taking warfarin presented to hospital with Brown-Séquard syndrome caused by a spontaneous spinal epidural hematoma (SSEH) precipitated by a coughing fit. Guided by a literature review of the risks of administering or withholding anticoagulation in this patient, doctors advised a regimen of warfarin to achieve an international normalized ratio of 1.5 to 2 and dipyridamole (75 mg qid) to protect against thromboembolic complications while minimizing the risk of recurrent SSEH.
Language: en
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