Spontaneous Subdural Hematoma Secondary to Warfarin Toxicity in a Case with Deep Vein Thrombosis and Pulmonary Embolism

Warfarin is one of the common drugs used in the treatment of deep vein thrombosis, pulmonary embolism and atrial fibrillation with stroke. Warfarin-associated intracerebral hemorrhage (ICH) has become common in the last decades contributing to 19% of intracerebral bleeds. We report a case with deep vein thrombosis that developed acute onset neurosurgical deterioration secondary to left subdural hematoma. Burr hole evacuation was done with correction of the coagulopathy.