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KMID : 1143720130090020150
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Korean Journal of Neurotrauma
2013 Volume.9 No. 2 p.150 ~ p.153
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Traumatic Delayed Subdural Hematoma Accompanied Acute Cerebral Infarction during Anticoagulant Therapy in an Old Patient
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Ryu Jee-Wook
Oh In-Ho
Lee Sung-Ho
Kim Min-Ki
Choi Seok-Keun
Park Bong-Jin
Kim Tae-Sung
Rhee Bong-Arm
Lim Young-Jin
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Abstract
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Oral anticoagulant therapy is generally being used in patient with a high thromboembolic risk such as cerebrovascular or cardiovascular accident, in spite of increased bleeding tendencies and most of them are old-age patients. A stroke frequently leads to a fall, which in turn causes a minor trauma, and it is often reported that anticoagulant therapy for treatment of stroke may aggravate traumatic brain injury. The authors report a case that required surgical treatments for subacute subdural hematoma which was found during antiplatelets and anticoagulant therapy for acute ischemic stroke. The hematoma had not been found at the time of head injury accompanied by a cerebral infarction.
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KEYWORD
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Subacute subdural hematoma, Oral anticoagulant therapy, Warfarin, Old aged patient
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