Coagulopathy and outcome in patients with chronic subdural haematoma

Sa, König; Schick, Uta; Döhnert, J; Goldammer, Axel; He, Vitzthum

doi:10.1034/j.1600-0404.2003.01340.x

Cited by 48 publications

(33 citation statements)

References 24 publications

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“…The two vertical lines separate normal and abnormal results for these two assays Over one-third of SDH patients on warfarin (40%, 6/15) had abnormal PFA results. The abnormal PFA findings could be accounted for by medication use in 4/6 patients: aspirin [1], clopidogrel [1], pentoxifylline [1], and enoxaparin bridging therapy [1]. One patient on chronic warfarin therapy had significant daily alcohol intake.…”

Section: Resultsmentioning

confidence: 98%

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Slippery Platelet Syndromes in Subdural Hematoma

et al. 2010

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Section: Resultsmentioning

confidence: 98%

“…The risk of SDH is increased in patients with coagulopathies such as advanced liver disease, hemodialysis, warfarin use, and alcohol dependency, and the outcomes are compromised [1]. Platelets also play a role in SDH formation, since patients with hematologic diseases that cause thrombocytopenia [2] are at risk of SDH.…”

Section: Introductionmentioning

confidence: 98%

Slippery Platelet Syndromes in Subdural Hematoma

et al. 2010

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“…The outcome of patients with CSDH with coagulopathy is often complicated with an increased recurrence rate, which deserves attention [5]. The excess mortality Fig.…”

Section: Discussionmentioning

confidence: 99%

Demographics and prevalent risk factors of chronic subdural haematoma: results of a large single-center cohort study

et al. 2004

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Chronic subdural haematoma (CSDH) is a typical disease in elderly patients and encountered frequently in neurosurgical practice. With an increasing number of elderly people in the general population, there is a need to investigate risk factors (age, falls, anticoagulant or antithrombotic therapy) which could be pertinent to the development of this disease. We reviewed 354 patients undergoing surgery for CSDH over a period of 7 years (1996)(1997)(1998)(1999)(2000)(2001)(2002), the occurrence being equally distributed over these years. CSDH occurred more often in elderly (≥65 years) than in younger people (69 vs 31%), and in men than in women (64 vs 36%). Falls were reported in 77% of patients. There was a trend towards a higher risk of falls in the elderly. Antithrombotic or anticoagulant therapy was present in 41% of patients, 32% of them having had falls. Overall postoperative mortality was 0% and overall recurrence rate 13.6%. CSDH in the elderly population, especially in men, is frequently associated with falls and anticoagulation or antithrombotic therapy. The indication for these medications, especially in elderly patients at risk for falls, should be carefully evaluated and controlled.

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“…Spontaneous intracranial subdural hematoma has been infrequently reported in association with coagulopathy, ruptured cerebral aneurysm or arteriovenous malformation 3,12,13,16,19,20) . Spontaneous subdural hematomas of arterial origin are also rarely reported 15,27,28) .…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Bilateral Supratentorial Subdural and Retroclival Extradural Hematomas in Association with Cervical Epidural Venous Engorgement

Cho

Park

Chough

et al. 2009

J Korean Neurosurg Soc

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We describe a case of 36-year-old man who presented with a subacute headache preceded by a 1-month history of posterior neck pain without trauma history. Head and neck magnetic resonance imaging (MRI) studies disclosed bilateral supratentorial subdural and retroclival extradural hematomas associated with marked cervical epidural venous engorgement. Cerebral and spinal angiography disclosed no abnormalities except dilated cervical epidural veins. We performed serial follow-up MRI studied to monitor his condition. Patient's symptoms improved gradually. Serial radiologic studies revealed gradual resolution of pathologic findings. A 3-month follow-up MRI study of the brain and cervical spine revealed complete resolution of the retroclival extradural hematoma, disappearance of the cervical epidural venous engorgement, and partial resolution of the bilateral supratentorial subdural hematoma. Complete resolution of the bilateral supratentorial subdural hematoma was confirmed on a 5-month follow-up brain MRI. The diagnosis and possible mechanisms of this rare association are discussed.

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Coagulopathy and outcome in patients with chronic subdural haematoma

Abstract: In CSH, the coagulation parameters and a subtle correction of coagulation are of special interest, regarding the worse outcome in patients with recurrent CSH and in those requiring post-operative substitution.

Cited by 48 publications

References 24 publications

Slippery Platelet Syndromes in Subdural Hematoma

Slippery Platelet Syndromes in Subdural Hematoma

Demographics and prevalent risk factors of chronic subdural haematoma: results of a large single-center cohort study

Spontaneous Bilateral Supratentorial Subdural and Retroclival Extradural Hematomas in Association with Cervical Epidural Venous Engorgement

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