The dangerous gamble of heparinization within two weeks of nonoperative traumatic acute subdural hematoma in patients with increased stroke risk | Zendy

Shearwood McClelland | Zendy; SJ Mackey | Zendy; S. S. Kim | Zendy

Open Access

The dangerous gamble of heparinization within two weeks of nonoperative traumatic acute subdural hematoma in patients with increased stroke risk

Author(s) -

Shearwood McClelland,

SJ Mackey,

S. S. Kim

Publication year - 2014

Publication title -

journal of postgraduate medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.405

H-Index - 52

eISSN - 0972-2823

pISSN - 0022-3859

DOI - 10.4103/0022-3859.132344

Subject(s) - medicine , acute subdural hematoma , hematoma , midline shift , stroke (engine) , anesthesia , warfarin , subdural hemorrhage , surgery , traumatic brain injury , mechanical engineering , psychiatry , engineering , atrial fibrillation

In traumatic acute subdural hematoma (aSDH) management, systemic anticoagulation is contraindicated, particularly during the first 2 weeks. We present two cases of patients with nonoperative aSDH whose stroke risk led to heparinization within 2 weeks of the initial hemorrhage and examine their outcomes to illustrate the risks and benefits associated with systemic anticoagulation.

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