Document Detail

Subdural haematoma associated with long term oral anticoagulation.
MedLine Citation:
PMID:  3267319     Owner:  NLM     Status:  MEDLINE    
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.
T Diamond; W J Gray; C P Chee; T F Fannin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of neurosurgery     Volume:  2     ISSN:  0268-8697     ISO Abbreviation:  Br J Neurosurg     Publication Date:  1988  
Date Detail:
Created Date:  1989-11-22     Completed Date:  1989-11-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8800054     Medline TA:  Br J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  351-5     Citation Subset:  IM    
Department of Neurosurgery, Royal Victoria Hospital, Belfast, United Kingdom.
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MeSH Terms
Administration, Oral
Age Factors
Aged, 80 and over
Anticoagulants / administration & dosage,  adverse effects*
Hematoma, Subdural / chemically induced*,  mortality,  radiography
Middle Aged
Retrospective Studies
Tomography, X-Ray Computed
Reg. No./Substance:

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