Acute Subdural Hematoma Developed During Anticoagulant or Thrombolytic Therapy in Patients with Cerebral Infarction
Journal of Korean Neurosurgical Society
;
: 184-187, 1996.
Artigo
em Coreano
| WPRIM
| ID: wpr-206433
ABSTRACT
Patients with cardiogenic embolic stroke may experience an early, recurrent cerebral embolism. Fortunately, limited evidence suggests that anticoagulatory agents or thrombolytic agents may prevent recurrent cardiogenic emboli and halt progression of so-called "progressing stroke" However, because of the possibility of the intracerebral hemorrhage, use of such agents has generally been considered cautiously with timing, dosage and patient selection. Serious complications of anticoagulation for presumed embolic stroke are hemorrhage in the area of infarction. We experienced two patients with nonseptic cerebral embolism of cardiac origin. They were managed with anticoagulant or thrombolytic therapy, but resulted in clinical deterioration or death from spontaneous subdural hemorrhage. In each patient, an initial CT scan excluded the presence of hemorrhage but a second CT scan after clinical deterioration, documented subdural hemorrhage.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Tomografia Computadorizada por Raios X
/
Terapia Trombolítica
/
Hemorragia Cerebral
/
Infarto Cerebral
/
Seleção de Pacientes
/
Acidente Vascular Cerebral
/
Embolia Intracraniana
/
Hematoma Subdural Agudo
/
Fibrinolíticos
/
Hematoma Subdural
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
1996
Tipo de documento:
Artigo
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