Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Feb 17;18(1):83-88.
doi: 10.13004/kjnt.2022.18.e9. eCollection 2022 Apr.

Delayed Multiple Intracerebral Hemorrhage After Burr Hole Drainage of Chronic Subdural Hematoma During Failure of Warfarin Resumption in Atrial Fibrillation

Tae Hoon Jang  1 , Sung Hwa Paeng  1 , Yong Woo Shim  2 , Won Hee Lee  1 , Sung-Tae Kim  1 , Keun Soo Lee  1
Affiliations
Case Reports

Delayed Multiple Intracerebral Hemorrhage After Burr Hole Drainage of Chronic Subdural Hematoma During Failure of Warfarin Resumption in Atrial Fibrillation

Tae Hoon Jang et al. Korean J Neurotrauma. .

Abstract

Many elderly people take warfarin due to underlying disease. Warfarin is a risk factor for developing chronic subdural hematomas and other intracranial hematomas. Our patient was on chronic warfarin treatment for longstanding atrial fibrillation and underwent burr hole trephination due to chronic subdural hematoma. Multiple intracerebral hemorrhages developed 7 days after surgery without resumption of warfarin. Here, we report and review this rare case.

Keywords: Cerebral hemorrhage; Chronic subdural hematoma; Warfarin.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: The authors have no financial conflicts of interest.

Figures

FIGURE 1
FIGURE 1. Findings of chronic subdural hematoma when admission in computed tomography (A) and T2 weighted magnetic resonance image (B).
FIGURE 2
FIGURE 2. Finding of post-operation in computed tomography with burr hole trephination of right parietal.
FIGURE 3
FIGURE 3. Finding of followed computed tomography 5 days after surgery.
FIGURE 4
FIGURE 4. Findings of newly developed intracerebral hemorrhage in right frontal, left thalamus (A) and right cerebellum (B) in followed computed tomography 7 days after surgery.
FIGURE 5
FIGURE 5. Findings of resolved intracerebral hemorrhage in right frontal, left thalamus (A) and right cerebellum (B) in followed computed tomography 17 days after surgery.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Arboix A, Alio J. Acute cardioembolic cerebral infarction: answers to clinical questions. Curr Cardiol Rev. 2012;8:54–67. - PMC - PubMed
    1. Brisman MH, Bederson JB, Sen CN, Germano IM, Moore F, Post KD. Intracerebral hemorrhage occurring remote from the craniotomy site. Neurosurgery. 1996;39:1114–1121. - PubMed
    1. Chang SH, Yang SH, Son BC, Lee SW. Cerebellar hemorrhage after burr hole drainage of supratentorial chronic subdural hematoma. J Korean Neurosurg Soc. 2009;46:592–595. - PMC - PubMed
    1. Chen JC, Levy ML. Causes, epidemiology, and risk factors of chronic subdural hematoma. Neurosurg Clin N Am. 2000;11:399–406. - PubMed
    1. Choi PM, Ly JV, Srikanth V, Ma H, Chong W, Holt M, et al. Differentiating between hemorrhagic infarct and parenchymal intracerebral hemorrhage. Radiol Res Pract. 2012;2012:475497. - PMC - PubMed

Publication types