SEVERE SUBDURAL HEMATOMA IN AN ELDERLY PATIENT UNDER TREATMENT WITH ACENOCOUMAROL: A CASE REPORT.

Objectives: To describe a case of severe subdural hematoma in an elderly patient treated with acenocoumarol and its surgically management. Design: Case Report. Setting: Neurosurgery Clinic, General Hospital Athens “Korgialeneio-Benakeio”, Hellenic Red Cross, Greece. Patient: An 83 years old female with confusion of sudden onset, following a reported seizure, under medication for paroxysmal atrial fibrillation. Results: The brain computed tomography (CT) revealed subdural hematoma in the sheath of the left occipitoparietal and the laboratory examination showed an INR 3.48. Conclusions: The bleeding following acenocoumarol is rare although remains the major complication. In cases that conservative treatment is not successful, surgical intervention is mandatory.