Intracerebral hemorrhage (ICH) continues to have a high mortality and morbidity rate. Improving the clinical outcomes of ICH requires rapid removal of blood. Stereotactic ICH aspiration as soon as possible could effectively reduce intracranial pressure, brain edema, and further neuronal injury, thereby improving the prognosis. Herein, we describe technical issues related to stereotactic ICH evacuation using the Cosman-Roberts-Wells frame.
Many elderly people take warfarin due to underlying disease. Warfarin is a risk factor for developing chronic subdural hematomas and other intracranial hematomas. Our patient was on chronic warfarin treatment for longstanding atrial fibrillation and underwent burr hole trephination due to chronic subdural hematoma. Multiple intracerebral hemorrhages developed 7 days after surgery without resumption of warfarin. Here, we report and review this rare case.
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