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