acenocoumarol and Hematoma--Subdural

Statistically 10% of head and neek trauma is caused by animal bite, more often inflicted by dogs. More than 50% of victims are infants and small children. Generally, the result of dogbite is superficial trauma but there are cases of deep soft tissue defects with amputation and multiple bone fractures. In case described in this article, an elderly woman suffered a dog attack, wich resulted in extensive face and head injuries. In spite of receiving proper treatment, the patient passed away. It is highly probable that underlying Syncumar therapy caused complications which contributed to the fatal outcome. Because of it's unusual nature we found this case to be of interest for publication.

Topics: Acenocoumarol; Aged; Animals; Anticoagulants; Bites and Stings; Craniocerebral Trauma; Dogs; Emergency Service, Hospital; Facial Bones; Facial Injuries; Fatal Outcome; Female; Hematoma, Subdural; Humans; Plastic Surgery Procedures; Skull Fractures

A case of a arachnoidal cyst with intracystic bleeding and subdural haematoma is reported. The association of an arachnoidal cyst in the middle cranial fossa with a subdural haematoma or intracystic bleeding is emphasised. The diagnosis of such lesions, the nature of the pathology and therapy are discussed.

Topics: Acenocoumarol; Adult; Arachnoid Cysts; Female; Hematoma, Subdural; Humans; Magnetic Resonance Imaging; Postoperative Complications; Recurrence; Thrombophlebitis; Tomography, X-Ray Computed

From 1978-1986, 63 patients (48-79 years) under coumarin derivatives had to be hospitalized neurosurgically because of intracranial or intraspinal bleedings. This corresponds to a twelvefold increased risk compared to the untreated people. The male/female ratio was 1.5. At the time of the bleeding there was no true indication for anticoagulation in at least 60% of the patients. 80% with coma on admission died. Only for 2/7 with an intraspinal hemorrhage the outcome was better than paraplegic. Women proved to have a better chance of survival. There is a need for more concise indications for chronic anticoagulation.

Topics: Acenocoumarol; Aged; Cerebral Hemorrhage; Coma; Coumarins; Female; Follow-Up Studies; Hematoma, Subdural; Hemorrhage; Humans; Male; Middle Aged; Paraplegia; Phenprocoumon; Risk Factors; Spinal Cord Diseases

Topics: Acenocoumarol; Adolescent; Adult; Aspirin; Cerebral Angiography; Female; Hematoma, Subdural; Heparin; Humans; Long-Term Care; Male; Phenacetin; Renal Dialysis

Topics: Acenocoumarol; Hematoma, Subdural; Humans; Male; Middle Aged; Myocardial Infarction; Warfarin

Topics: Acenocoumarol; Anticoagulants; Hematoma; Hematoma, Subdural; Hemorrhage; Humans; Pathology; Rheumatic Heart Disease; Spinal Cord; Spinal Diseases; Subdural Space; Toxicology