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Coll Antropol ; 38(4): 1195-8, 2014 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-25842756

RESUMEN

In the elderly, a larger proportion of the intracranial bleeds is related to non-traumatic causes or is caused by slight trauma--such that in a younger patient would not be expected to cause a bleed. In clinical practice, there is a prevailing impression that these bleeds, especially subdural hematomas of chronic and sub-chronic duration with or without acutization (evidence of "fresh" bleeding) are in many cases related directly to the use of anticoagulant therapy. A retrospective survey of medical documentation was performed for patients treated at the Neurosurgery Clinic of KBC Rijeka during the period of 2011 and 2012. Statistical analysis showed a significantly greater incidence of spontaneous SDH (subdural hematoma) in patients taking oral anticoagulation therapy (Fisher exact test, p < 0.01). In the article 3 typical cases of such patients are also presented. This survey confirmed the existence of a relationship between oral anticoagulant therapy and SDH, in particular the subgroup of "spontaneous" SDH. A larger study is planned.


Asunto(s)
Hematoma Subdural/epidemiología , Anciano , Anciano de 80 o más Años , Croacia/epidemiología , Hematoma Subdural/diagnóstico por imagen , Humanos , Masculino , Factores de Riesgo , Tomografía Computarizada por Rayos X
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