Özger, ÖzkanKaplan, Necati2020-11-262020-11-262020ÖZGER Ö,KAPLAN N (2020). SPONTANEOUS SPINAL EPIDURAL HEMATOMA FOLLOWING WARFARIN TREATMENT: CASE REPORT. Journal of Turkish Spinal Surgery, 31(2), 108 - 110. Doi: 10.4274/jtss.galenos.2020.931301-03362147-5903https://doi.org/10.4274/jtss.galenos.2020.93https://hdl.handle.net/20.500.12713/1256Spontaneous spinal epidural hematoma (SSEH) is a rare but clinically important disease, and delayed diagnosis may have serious consequences. When a patient presents to the emergency department with sudden, unexplained neck, back or low back pain during anticoagulant therapy, the possibility of SSEH should be considered. Magnetic resonance imaging (MRI) is important for early diagnosis of SSEH. In this article, we present a rare case of SSEH in the thoracolumbar region due to warfarin treatment in a 53-year-old woman and compare her clinical features and treatment approach with similar patients in the literature. The patient was admitted to the emergency department with severe back pain and paraparesis. She was using warfarin as a part of anticoagulant therapy following a coronary bypass. Her blood test results showed that the international normalised ratio was 4.13. Spinal MRI revealed an SSEH extending between T11 and L1 levels and compressing the spinal cord. The hematoma was evacuated by surgery 1 day after the preoperative preparations. The patient was mobilised on the fifth postoperative day. On the 40th postoperative day, she visited the outpatient clinic with a full recovery. In the literature, SSEH is usually presented in case reports and warfarin-induced SSEH is a very rare conditioneninfo:eu-repo/semantics/openAccessAnticoagulant TreatmentSpontaneous Spinal Epidural HematomaWarfarinArticle31210811010.4274/jtss.galenos.2020.93379802