Massive Spinal Subdural Hematoma and Subarachnoid Hemorrhage in a Patient Receiving Oral Anticoagulant Therapy

Year 2016, Volume: 7 Issue: 2, 20 - 23, 01.04.2016

Ahmet Baydın Latif Duran Mustafa Bilgiç Ramazan Amanvermez Cengiz Çokluk Meltem İnce

Abstract

Introduction: We present a rare clinical condition of concomitant spinal subdural hematoma and cranial subarachnoid hemorrhage (SAH) related to oral anticoagulant therapy. Case Report: In this report, we present the case of a 78 -year- old female who was brought by an ambulance to the emergency department with sudden onset neurological deficit, which was eventually diagnosed as a simultaneous spinal subdural hematoma and SAH.Conclusion: The coagulation profile of patients should be screened in the context of anticoagulant therapy in appropriate or short time periods; an early clinical intervention will result in a greater likelihood of the patient’s recovery

Keywords

Emergency service , subarachnoid hemorrhage , spinal subdural hematoma , anticoagulant therapy

References

• Sagar J, Kumar V, Shah DK, Bhatnagar A. Spontaneous intra-peritoneal bleeding secondary to warfarin, presenting as an acute appendicitis: a case report and review of literature. BMC Blood Disord 2006; 6: 7. [CrossRef]
• Kishen T, Etherington G, Diwan A. Cranial subdural haematoma with concomitant spinal epidural and spinal subarachnoid haematomas: a case report. J Orthop Surg 2009; 17: 358-60.
• Doğan NÖ, Pamukçu Günaydın G, Tekin M, Çevik Y. Nontraumatic Mas- sive Spontaneous Hemothorax with Concomitant Warfarin Use. Case Rep Emerg Med 2013; 1-3. [CrossRef]
• Steiner T, Rosand J, Diringer M. Intracerebral hemorrhage associated with oral anticoagulant therapy: current practices and unresolved questions. Stroke 2006; 37: 256-62. [CrossRef] JEMCR 2016; 7; 20-3