Dysfibrinogenemia with Subgaleal Hematoma: An Unusual Presentation

Khare, Manika; Kumar, Vijay; Marwah, Sheeba; Nigam, A S; Buxi, Gurdeep

doi:10.1007/s12288-015-0606-2

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…3 Blood disorders like dysfibrinogenemia, sickle cell disease, hemophilia, factor XIII deficiency, von Willerbrand disease, idiopathic thrombocytopenic purpura and vitamin K deficiency have been reported in cases of subgaleal hematoma after mild head trauma. [9][10][11][12][13] Oral anticoagulant therapy reduces the risk of thromboembolic events and prevent an ischemic stroke in patients with atrial fibrillation but is also associated with hemorrhagic complications. 14 Management of a patient with subgaleal hematoma should be focused on the possible origin, patients' health conditions, and clinician's choice.…”

Section: Discussionmentioning

confidence: 99%

Massive subgaleal hematoma in a 62-year-old man treated with apixaban as a consequence of mild head trauma

Pagkou¹,

Papavramidis²,

Mavropoulou³

et al. 2021

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Subgaleal hematoma, accumulation of blood in the loose areolar tissue of the subgaleal space of the skull, is considered the most catastrophic complication of instrumental delivery. It is a rare finding in older ages, usually associated with coagulation disorders, severe head trauma leading to skull base fractures and accidental or abusive hair pulling. Complications include periorbital necrotising fasciitis, permanent blindness, infections and, in extreme rare cases, airway obstruction. Most cases of subgaleal hematoma resolve spontaneously, without the need of aspiration or drainage. We present here the case of a 62-year-old male on anticoagulant therapy with apixaban for chronic atrial fibrillation, who came to the emergency department after a car accident suffering from mild head trauma. The patient was complaining of a diffuse headache and physical examination showed a large ecchymosis and edema on the frontal area of the head. His neurological examination was unremarkable. Full-body computed tomography (CT) revealed a fracture of the third right rib. Twelve hours after admission, due to an excessive decrease of hematocrit, a second CT was performed. Although the images didn’t show intracranial hemorrhage or skull base fractures, a large and diffuse hematoma of the subaponeurotic space was observed and the diagnosis of subgaleal hematoma was confirmed. Massive subgaleal hematoma after mild head trauma is rather infrequent. Early diagnosis improves outcomes and can avert serious complications. Therapeutic strategy should be based on the severity of each case. In our case, conservative treatment appeared to be a valid alternative to surgery, as hematoma resolved spontaneously within 10 days. It is noteworthy that the use of anticoagulation is the only evident factor that could have been the precipitating factor for the development of the hematoma in our patient.

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Section: Discussionmentioning

confidence: 99%

Massive subgaleal hematoma in a 62-year-old man treated with apixaban as a consequence of mild head trauma

Pagkou¹,

Papavramidis²,

Mavropoulou³

et al. 2021

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“…Improvement in aerobic capacity can be explained on the following basis [12] 13 Yoga has beneficial effects on perimenopausal-related psychological symptoms. This impact of yoga seems to be due to its effect on the functioning of nervous system leading to increase in alpha rhythm, intrahemispheric coherence and homogeneity in the brain [14,15] and increase in P 300 phase amplitude [16] all of which seems to enhance the cognitive processes. Menopausal anxiety can be a very difficult symptom to manage, but yoga therapy showed significant improvement compared to physical exercise.…”

Section: Rajeshree Tukaram Et Al (2023) Did a Study On Study Of Effec...mentioning

confidence: 99%

To Observe the Effect of Yoga on Mental Health and Flexibility in Premenopausal Females

Gandhi,

Padsala,

Silajiya

2023

Int J Sci Healthcare Res

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Background and need of the study: Effects of yoga is studied by many scholars; however, little attention has been given to the phenomenon of premenopausal female participants. So there is need to observe effect of yoga on mental health and flexibility in premenopausal women. Methodology: Observational study, convenience sampling was done, participants who belong to age group between 40-50 were included in the study. Oral consent was obtained from every participant. Participants were divided into 2 group, group A: who are practising yoga since last 3 years and group B: who were not practicing yoga. Outcome measures 1) V sit and reach test for flexibility and 2) DASS scale to assess depression, stress and anxiety used. Result: Mean DASS score was(6.45+3.85) and (13.20+5.36) for group A and group B respectively and mean score for flexibility was (20.60+5.36) and(13.35+5.25) for group A and group B respectively. For comparison of outcome measures, Mann-whitney U test was applied, test result shows that, there is significant difference between groups in flexibility (U=37.5, p=0.0001) and DASS score (U=50.5, p=0.0001). Conclusion and clinical application: Yoga has shown good control on mental health and flexibility in premenopausal females practicing yoga. So, We can encourage premenopausal female to practise yoga regularly. Keywords: Premenopausal, Yoga, Depression, Anxiety, Flexibility.

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