A Case of Acute Subdural Hematoma of the Posterior Fossa as a Complication of anticoagulation

J Korean Neurol Assoc > Volume 16(5); 1998 > Article

Journal of the Korean Neurological Association 1998;16(5): 755-756.

항응고제 치료 중 발생한 후두개와급성 경막하 출혈 1예

김중석, 한시령

가톨릭대학교 의과대학 신경과학교실

A Case of Acute Subdural Hematoma of the Posterior Fossa as a Complication of anticoagulation

Joong-Seok Kim,M.D., Si-Ryung Han,M.D.

Department of neurology, Kang-Nam St. Mary's Hospital, The catholic University

Abstract

Acute subdural hematoma of the posterior fossa (ASDH-PF) is a clinical rarity with a poor prognosis (mortality rate 74%). We report a case of ASDH-PF associated with anticoagulation. 76-year-old woman are transferred due to stuporous mentality. Neurologic examination showed bilateral incomplete sixth nerve palsy with nuchal rigidity. There are high signal intensities in T1 weighted MR images which encircled posterior fossa. We treated patient medical]y with hyperosmolar agent and cytoprotective agent successfully. J Kor Neurol Ass 16(5):755∼756, 1998 Key word : Acute subdural hematoma, Posterior fossa, Anticoagulation