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Anticoagulation leads to fatal thoracic spinal subdural hematoma and extensive subarachnoid hemorrhage.
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A patient developed paraparesis and signs of meningeal irritation spontaneously while on anticoagulant therapy. At autopsy, a subdural hematoma of the thoracic cord and evidence of widespread subarachnoid hemorrhage were found. The possible mechanism for these combined hemorrhages is discussed.
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Vinters et al. (1980) studied this question. Anticoagulant therapy was complicated by spontaneous paraparesis, thoracic spinal cord subdural hematoma, and widespread subarachnoid hemorrhage in a fatal case.
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