Delayed life-threatening subdural hematoma after minor head injury in a patient with severe coagulopathy: a case report.
Minor head injury is a frequent cause for neurologic consultation and imaging. Most patients with minor head injury will make an uneventful recovery, but in a very small proportion of these patients life threatening intracranial complications occur. We describe a patient on oral anticoagulation therapy, and severely impaired coagulation, with normal head computed tomography on admission, who developed a subdural hematoma requiring surgery 12 hours later. Current guidelines and literature for the management of minor head injury are discussed.
Engelen
Marc
M
Department of Neurology, Academic Medical Center, University of Amsterdam, 1100 DD, Amsterdam, The Netherlands. m.engelen@amc.uva.nl
Nederkoorn
Paul J
PJ
Smits
Marion
M
van de Beek
Diederik
D