Spontaneous bilateral subdural hematoma in a patient with a prosthetic valve and association with plasmodium vivax malaria: A rare case report

Abdi, Ishak Ahmed; Sidow, Nor Osman; Hassan, Mohamed Sheikh; Mohamud, Mohamed Farah Yusuf; Karataş, Mesut

doi:10.1016/j.amsu.2022.104191

Cited by 5 publications

(4 citation statements)

References 13 publications

(13 reference statements)

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Section: Discussionmentioning

confidence: 99%

Warfarin-induced Isolated Spontaneous Subarachnoid Hemorrhage: Rare Case Report

Hassan¹

2022

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Subarachnoid hemorrhage (SAH) is mostly associated with head trauma. Non-traumatic subarachnoid hemorrhage is mostly due to vascular abnormalities: either hemorrhage from ruptured aneurysm or bleeding from atriovenous malformation. Aneurysmal hemorrhage is the biggest cause in non-traumatic cases. Warfarin is associated with cerebral intraparenchymal hemorrhage, but it is rarely associated with SAH. Here, we report a case of a 45-year old male patient who was admitted to the neurology ward of our hospital due to acute ischemic stroke. The patient was treated with a vitamin K antagonist (warfarin). However, on the third day, his condition deteriorated (his GCS regressed from 11/15 to 5/15). Pupils were anisocoric. Brain CT done immediately showed extensive subarachnoid hemorrhage without intraparenchymal involvement. The patient was intubated and transferred to the intensive care unit. Due to his poor condition, neurosurgical intervention could not be done. The patient was managed conservatively, but the patient passed away 4 days later in the intensive care unit. Warfarin is rarely associated with subarachnoid hemorrhage, especially when it is only isolated subarachnoid hemorrhage. Aneurismal rupture and trauma should be excluded before diagnosis of warfarin related SAH is made.

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Section: Discussionmentioning

confidence: 99%

Warfarin-induced Isolated Spontaneous Subarachnoid Hemorrhage: Rare Case Report

Hassan¹

2022

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“…Intracranial hemorrhage is one of the most serious complications of warfarin anticoagulation. Intracranial hemorrhage associated with warfarin can be categorized into intraparenchymal, subdural/epidural, and subarachnoid [ 9 ]. Intraparenchymal hemorrhage accounts for approximately 70% of anticoagulation-associated intracranial hemorrhages.…”

Section: Discussionmentioning

confidence: 99%

Warfarin-induced isolated spontaneous subarachnoid hemorrhage: Rare case report

Hassan¹,

Bakir²,

Adam³

et al. 2022

Annals of Medicine &Amp; Surgery

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“…Patients with ejection fractions below 40%, anterior wall MI, and LV aneurysm had a higher risk of developing an LV thrombus [23] . days [24,25,35] .…”

Section: Discussionmentioning

confidence: 99%

Analysis of Echocardiographic Findings of Patients with Acute Ischemic Stroke Admitted to a Tertiary Hospital in Mogadishu, Somalia

Hassan¹,

Waberi²,

Ahmed³

et al. 2022

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Background and Aims Etiological investigation of potential cardiac source of acute ischemic stroke is important for secondary prevention of recurrent and future embolisation. Transthoracic echocardiography is one of the most useful investigations for the assessment of the potential cardiac etiology of ischemic stroke. Our aim is to evaluate echocardiographic findings in patients with acute ischemic stroke admitted in Mogadishu, Somali Turkish Training and Research Hospital. Methods The study was retrospective observational study conducted in the neurology department of teaching hospital in Mogadishu, Somalia. The study focused on the assessment of echocardiographic findings of patients with acute ischemic stroke admitted to the neurology ward. The data was retrieved from the electronic records of patients admitted to the neurology department due to acute ischemic stroke. All patients with acute ischemic stroke who had undergone transthoracic echocardiography from March 2019 to March 2022 were enrolled. Findings The mean age of patients was 62 ± 12. The majority of the patients in the study were 60 years of age or older 210(66.7%). The male subjects in the study population accounted for 178(56.5%), while females accounted for 137(43.5%). Co-morbidities were present in about 251(80%) of the subjects, hypertension was the most common comorbidity 99(31.4%), followed by diabetes 72(23%), and hyperlipidemia 37(11.7%). Over all cardiac pathology in this study was 54%. 47(15%) of the patients had low ejection fraction on transthoracic echocardiography. Male patients had slightly less left ventricular systolic dysfunction than did female patients. 100(32%) had LVDD while 113(36%) had LVH. Left ventricular hypertrophy was more frequent in hypertensive patients (46% of hypertensive patients). Left ventricular diastolic dysfunction (LVDD) was more common among diabetic patients (60% of diabetic patients). Patient with hypertension and diabetes had more echo abnormalities compared to others (P-value of 0.047 and 0.024 respectively). More echo abnormal findings were seen in patients who died during hospitalization than those who survived. (P = 0.008). Severe LV dysfunction was associated higher mortality (P < 0.001). Conclusion Most patients with stroke in this study had abnormal echocardiogram, however few have cardioembolic strokes. Abnormalities in echocardiography were more common in in patients who died during hospitalization than those who survived.

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Spontaneous bilateral subdural hematoma in a patient with a prosthetic valve and association with plasmodium vivax malaria: A rare case report

Cited by 5 publications

References 13 publications

Warfarin-induced Isolated Spontaneous Subarachnoid Hemorrhage: Rare Case Report

Warfarin-induced Isolated Spontaneous Subarachnoid Hemorrhage: Rare Case Report

Warfarin-induced isolated spontaneous subarachnoid hemorrhage: Rare case report

Analysis of Echocardiographic Findings of Patients with Acute Ischemic Stroke Admitted to a Tertiary Hospital in Mogadishu, Somalia

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