Open AccessThe dangerous gamble of heparinization within two weeks of nonoperative traumatic acute subdural hematoma in patients with increased stroke risk: A case series
Author(s) -
Shearwood McClelland,
Sandi Mackey,
S. S. Kim
Publication year - 2014
Publication title -
journal of postgraduate medicine/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 , traumatic brain injury , surgery , computed tomography , subdural hemorrhage , atrial fibrillation , mechanical engineering , psychiatry , engineering
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.