Subdural Haematoma Associated with Long term Oral Anticoagulation
| Autor: | Chee Cp, Gray Wj, Diamond T, Fannin Tf |
|---|---|
| Rok vydání: | 1988 |
| Předmět: |
Male
medicine.medical_specialty medicine.drug_class medicine.medical_treatment Administration Oral Subdural haematoma Computed tomography Humans Medicine Craniotomy Oral anticoagulation Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Incidence (epidemiology) Anticoagulant Age Factors Clinical course Anticoagulants General Medicine Middle Aged medicine.disease Surgery Hematoma Subdural Neurological investigation Female Neurology (clinical) Tomography X-Ray Computed business |
| Zdroj: | British Journal of Neurosurgery. 2:351-355 |
| ISSN: | 1360-046X 0268-8697 |
| DOI: | 10.3109/02688698809001006 |
| Popis: | Twenty-two patients with subdural haematomas associated with long term oral anticoagulation have been reviewed. Clinical presentation was similar to other subdural haematomas, but patients were generally older and the clinical course was more rapid. The incidence of over-anticoagulation was 23% and there was no correlation between anticoagulant status and the extent of bleeding or prognosis. Mortality was 27%, a residual neurological deficit was present in 14% and 59% made a complete recovery. The results suggest that morbidity and mortality could be reduced by early diagnosis and treatment and any patient on oral anticoagulant therapy who develops a headache or confusion should have urgent neurological investigation, including a CT scan. The indications for long term anticoagulation, particularly in the elderly, should be critically reassessed. |
| Databáze: | OpenAIRE |
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