Subdural hematoma of the posterior fossa as a complication of anticoagulant therapy

Zenteno-Alanis, Genaro H.; Corvera, Jorge; Mateos, J.H

doi:10.1212/wnl.18.11.1133

Cited by 8 publications

(3 citation statements)

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“…Subdural hematomas form the most common complication of anticoagulation therapy with an incidence of 12-38% [10]. To the best of our knowledge, only six cases of posterior fossa subdural hematoma which are associated with anticoagulation usage have been reported so far in the literature [11][12][13][14][15] (Table 1).…”

Section: Discussionmentioning

confidence: 99%

Bilateral Sub-acute Subdural Hematoma of the Posterior Fossa As a Complication of Anti-coagulation Therapy: A Case Report and Literature Review

Ahmed¹,

Ibrahim²,

Mohammed³

et al. 2022

SJMS

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Background: Subdural hematomas are one of the commonest neurosurgical pathologies faced in practice and it is rarely located in the posterior fossa. Posterior fossa subdural hematomas are challenging because of the difficulty in their diagnosis and management. Case Presentation: A case of bilateral sub-acute subdural hematoma of the posterior fossa in a 65-year-old female presented with a complaint of headache and vomiting for three weeks followed by a decreased level of consciousness two days prior to admission. The patient is a known cardiac patient on long-term anti-coagulant, her condition was intensively investigated and the diagnosis of posterior fossa subacute hematoma was reached, following which the patient was treated surgically and improved in the postoperative period. Conclusion: Subdural hematomas located in posterior fossa are considered very rare. Most of the reported cases are due to anti-coagulant use, with minor number of cases due to trauma. Literature denoted difficulty reaching diagnosis using only computed tomography and advice to be aided by magnetic resonance imaging as in our case. In most occasions, surgical management is the best choice for the management of such a case, regardless of surgical technique, and will result in excellent outcome.

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Section: Discussionmentioning

confidence: 99%

Bilateral Sub-acute Subdural Hematoma of the Posterior Fossa As a Complication of Anti-coagulation Therapy: A Case Report and Literature Review

Ahmed¹,

Ibrahim²,

Mohammed³

et al. 2022

SJMS

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“…Most of the published cases concern neonates [2] or are associated with ruptured arteriovenous malformations [3], aneurysms [4], or coagulation disorders such as anticoagulation or antiaggregant therapy [1,5,6,7]. Haemophiliac patients [8] and those with idiopathic thrombocytopenic purpura [9] have also developed haematomas in the posterior cranial fossa; thrombocytopenia may result in a hypocoagulable state, increasing the risk of spontaneous intracranial haemorrhage [10].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous bilateral subdural haematomas in the posterior cranial fossa revealed by MRI

2003

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“…We are reporting this case because the lesion occurred in the posterior fossa, which is an uncommon site of subdural haematoma (Ciarla, 1913;Munro, 1934;McKissock, Richardson, and Bloom, 1960;Ciembroniewicz, 1965;Wright, 1966). A previous case of posterior fossa subdural haematoma complicating anticoagulant therapy was reported by Zenteno-Alanis, Corvera, and Mateos (1968). Diagnosis was difficult and evolved from a combination of clinical observations and emergency contrast studies.…”

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confidence: 95%

Posterior fossa subdural haematoma associated with anticoagulant therapy

Capistrant¹,

Goldberg²,

Shibasaki³

1971

Journal of Neurology, Neurosurgery & Psychiatry

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SUMMARY This is a report of spontaneous posterior fossa subdural haematoma associated with anticoagulation therapy. The possibility of posterior fossa lesions related to spontaneous haemorrhage is suggested by the combination of severe headache and increasing disturbance of consciousness associated with signs of brain-stem decompensation. A thorough neurological evaluation including appropriate contrast studies will help rule out a supratentorial lesion. This is a neurological emergency which can be successfully treated by early detection and prompt surgical decompression. This is the second reported case of spontaneous subdural haematoma of the posterior fossa occurring during anticoagulant therapy.

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Subdural hematoma of the posterior fossa as a complication of anticoagulant therapy

Cited by 8 publications

References 0 publications

Bilateral Sub-acute Subdural Hematoma of the Posterior Fossa As a Complication of Anti-coagulation Therapy: A Case Report and Literature Review

Bilateral Sub-acute Subdural Hematoma of the Posterior Fossa As a Complication of Anti-coagulation Therapy: A Case Report and Literature Review

Spontaneous bilateral subdural haematomas in the posterior cranial fossa revealed by MRI

Posterior fossa subdural haematoma associated with anticoagulant therapy

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