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- Rafael Cincu, de Asis Lorente Francisco F, David Rivero, José Eiras, and José Ramón Ara.
- Department of Neurosurgery, Miguel Servet University Hospital, Zaragoza, Spain.
- Indian J Orthop. 2009 Oct 1; 43 (4): 412-5.
AbstractSpinal subdural hematoma is a rare disorder and can be caused by abnormalities of coagulation, blood dyscrasias, lumbar puncture, trauma, underlying neoplasm, and arteriovenous malformation. We discuss an unusual case of an elderly woman who presented with spontaneous spinal subdural hematoma and developed massive rebleeding on the third day following initial evacuation of hematoma. This case illustrates that a patient with routine normal coagulation profile and adequate hemostasis can still harbor platelet dysfunction (in present case due to polycythemia) and later on can manifest as rebleeding and neurological deterioration.
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