Citation

Maingi M, Glynn MF, Scully HE, Graham AF, Floras JS. Can. J. Cardiol. 1995; 11(5): 429-432.

Affiliation

Department of Medicine, University of Toronto, Ontario.

Copyright

(Copyright © 1995, Elsevier Publishing)

DOI

unavailable

PMID

7750040

Abstract

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