SEVERE SUBDURAL HEMATOMA IN AN ELDERLY PATIENT UNDER TREATMENT WITH ACENOCOUMAROL: A CASE REPORT.
Aikaterini Drylli
, Georgios Psilovasilopoulos
, Georgios Markogiannakis
, Ioannis Mylonakis
, Christos Kelesis
, Vasileios Varsos
- ENT, MSc “Metabolic diseases of bones”, National and Kapodistrian University of Athens, Greece.
- Neurosurgery Clinic, General Hospital Athens “Korgialeneio-Benakeio”, Hellenic Red Cross, Greece.
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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.
[Aikaterini Drylli, Georgios Psilovasilopoulos, Georgios Markogiannakis, Ioannis Mylonakis, Christos Kelesis, Vasileios Varsos (2015); SEVERE SUBDURAL HEMATOMA IN AN ELDERLY PATIENT UNDER TREATMENT WITH ACENOCOUMAROL: A CASE REPORT. Int. J. of Adv. Res. 3 (Sep). 655-657] (ISSN 2320-5407). www.journalijar.com
