Delayed Anticoagulation-Related Intracranial Haemorrhage after Minor Head Injury
Joint Authors
Geis, Nicolas A.
Unterberg, Andreas W.
Winkler, Harald
Orakcioglu, Berk
Sakowitz, Oliver W.
Beynon, Christopher
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-04
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Treatment with anticoagulants and antiplatelet agents are well-known risk factors for an unfavourable outcome after traumatic brain injury (TBI).
Guidelines for decision making in patients who sustained mild head injury do not apply to anticoagulated patients and therefore, in these cases diagnostic and therapeutic procedures have to be tailored patient-specific.
A 69-year-old patient was referred to our hospital after sustaining mild head injury.
Due to anticoagulation therapy, a cranial computed tomography was carried out and was without pathologic findings.
After negative workup for TBI, the patient was admitted to the ward solely because of intermittent cardiac arrhythmia.
The next day, the patient developed a hemiparesis and repeated brain imaging showed a large posttraumatic intracranial haematoma which had to be evacuated surgically.
In the further clinical course, the patient recovered completely and a cardiac pacemaker was implanted.
Emergency physicians have to be highly alert with anticoagulated patients after head injury, even if the trauma was mild and initial diagnostic procedures demonstrate no acute pathology.
Delayed traumatic intracranial haemorrhage may have fatal consequences for patients and while the threshold for admission to a hospital ward should be low, adequate observation at home has to be ensured if patients are discharged.
American Psychological Association (APA)
Beynon, Christopher& Orakcioglu, Berk& Winkler, Harald& Geis, Nicolas A.& Unterberg, Andreas W.& Sakowitz, Oliver W.. 2013. Delayed Anticoagulation-Related Intracranial Haemorrhage after Minor Head Injury. Case Reports in Medicine،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-470122
Modern Language Association (MLA)
Beynon, Christopher…[et al.]. Delayed Anticoagulation-Related Intracranial Haemorrhage after Minor Head Injury. Case Reports in Medicine No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-470122
American Medical Association (AMA)
Beynon, Christopher& Orakcioglu, Berk& Winkler, Harald& Geis, Nicolas A.& Unterberg, Andreas W.& Sakowitz, Oliver W.. Delayed Anticoagulation-Related Intracranial Haemorrhage after Minor Head Injury. Case Reports in Medicine. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-470122
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-470122