title: [Hemorrhagic stroke in a patient requiring long-term anticoagulant treatment: how to solve a dilemma].
abstract: Hemorrhagic stroke is a frequent cause of morbidity and mortality in Poland. It results from disruption of intracranial vessel wall continuity. We report a case of 66-years-old man with prosthetic aortic valve after three ischemic strokes treated with acenocoumarol who was admitted to hospital with vertigo and motoric aphasia. Computed tomography confirmed a hemorrhagic stroke related to anticoagulant treatment. We discussed the principles of management and therapeutic options in patients requiring long-term anticoagulation suffering from severe hemorrhagic complications.
authors.affiliation: II Katedra i Klinika Kardiologii, Uniwersytet Medyczny, Łódź. wcislo@ptkardio.pl
authors.forename: Tomasz
authors.initials: T
authors.lastname: Wcisło
authors.forename: Ewa
authors.initials: E
authors.lastname: Mrozowska-Peruga
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Bednarkiewicz
authors.forename: Jarosław D
authors.initials: JD
authors.lastname: Kasprzak
mesh_terms: D000074:Acenocoumarol / Q000009:adverse effects*; D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects*; D002543:Cerebral Hemorrhage / Q000139:chemically induced* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D011859:Radiography; D055502:Secondary Prevention; D020521:Stroke / Q000139:chemically induced*
chemical_list: D000925:Anticoagulants; D000074:Acenocoumarol