Publication Name	World Journal of Critical Care Medicine
Manuscript ID	117716
Country	Albania

Category	Critical Care Medicine
Manuscript Type	Case Report
Article Title	Incomplete Brown-Séquard syndrome secondary to acenocoumarol-induced hematomyelia: A case report
Manuscript Source	Invited Manuscript
All Author List	Ermir Roçi, Oneda Çibuku, Emili Mara, Vasilika Thimjo and Gentian Vyshka
Funding Agency and Grant Number
Corresponding Author	Gentian Vyshka, Biomedical and Experimental Department, Faculty of Medicine, University of Medicine, Rr. Dibres 371, Tirana 1005, Albania. gentian.vyshka@umed.edu.al
Key Words	Hematomyelia; Intramedullary spinal hemorrhage; Brown–Séquard syndrome; Acenocoumarol; Anticoagulation complications; Case report
Core Tip	Spontaneous intramedullary spinal cord hemorrhage is a rare but devastating complication of vitamin K antagonist therapy. This case demonstrates that even therapeutic international normalized ratio levels do not guarantee hemorrhagic safety. A 70-year-old woman on acenocoumarol developed an incomplete Brown-Séquard syndrome due to thoracic hematomyelia. Prompt magnetic resonance imaging allowed diagnosis, and conservative management led to neurological stabilization. Clinicians should maintain high suspicion for spinal hemorrhage in anticoagulated patients with acute myelopathy.
Citation	Roçi E, Çibuku O, Mara E, Thimjo V, Vyshka G. Incomplete Brown-Séquard syndrome secondary to acenocoumarol-induced hematomyelia: A case report. World J Crit Care Med 2026; In press

Received	2025-12-17 01:37
Peer-Review Started	2025-12-17 01:37
First Decision by Editorial Office Director	2026-01-12 08:41
Return for Revision	2026-01-12 08:41
Revised	2026-01-17 11:59
Publication Fee Transferred
Second Decision by Editor	2026-02-13 02:34
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-02-13 07:34
Articles in Press	2026-02-13 07:34
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3141(online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright	The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com