Spontaneous Resolution of Non Traumatic Chronic Subdural Haematoma Despite Continued Antiplatelet Therapy: A Case Report
Spontaneous resolution of traumatic chronic subdural haematoma (CSDH) has been reported in literature. However, those with non traumatic CSDH are exceedingly rare and none reported with continued antiplatelet therapy where it itself is an aetiological agent for development of non traumatic CSDH. A...
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doaj-41b53b08bbb34386858ec88ceea551bc2020-11-25T03:32:35ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-06-0196PD01PD0210.7860/JCDR/2015/11864.6002Spontaneous Resolution of Non Traumatic Chronic Subdural Haematoma Despite Continued Antiplatelet Therapy: A Case ReportAjeet Ramamani Tiwari0Shradha Maheshwari1Srikant Balasubramaniam2Tyagi Devendra3Hemantkumar Savant4Resident, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai Central, India.Assistant Professor, Department of Neurosurgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai Central, India.Assistant Professor, Department of Neurosurgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital,Mumbai Central, India.Associate Professor, Department of Neurosurgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai Central, India.Professor and Head of Department, Department of Neurosurgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai Central, India.Spontaneous resolution of traumatic chronic subdural haematoma (CSDH) has been reported in literature. However, those with non traumatic CSDH are exceedingly rare and none reported with continued antiplatelet therapy where it itself is an aetiological agent for development of non traumatic CSDH. A 50-year-old male presented to us with a non haemorrhagic cerebellar infarct with a concomitant CSDH without history of any trauma. Patient’s PT/INR, Bleeding time and Clotting time were normal. Patient was started on antiplatelet therapy (Tablet Aspirin 150 mg OD) for the acute infarct. MR Brain at 1 month showed an increased size of CSDH. However patient denied surgical evacuation hence we continued conservative line of management, however we continued anti-platelet therapy with close neurological and coagulation profile monitoring that remained within normal range throughout the period of observation. CT at 5th month showed complete resolution of CSDH. Patient was on antiplatelet drugs throughout the period of observation. Our case argues about the role of antiplatelet therapy in patients with CSDH with contrary lesions requiring anticoagulation. https://jcdr.net/articles/PDF/6002/11864_CE[Ra]_F(P)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdfanticoagulationhaemorrhagicischemic heart disease |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ajeet Ramamani Tiwari Shradha Maheshwari Srikant Balasubramaniam Tyagi Devendra Hemantkumar Savant |
spellingShingle |
Ajeet Ramamani Tiwari Shradha Maheshwari Srikant Balasubramaniam Tyagi Devendra Hemantkumar Savant Spontaneous Resolution of Non Traumatic Chronic Subdural Haematoma Despite Continued Antiplatelet Therapy: A Case Report Journal of Clinical and Diagnostic Research anticoagulation haemorrhagic ischemic heart disease |
author_facet |
Ajeet Ramamani Tiwari Shradha Maheshwari Srikant Balasubramaniam Tyagi Devendra Hemantkumar Savant |
author_sort |
Ajeet Ramamani Tiwari |
title |
Spontaneous Resolution of Non Traumatic Chronic Subdural Haematoma Despite Continued Antiplatelet Therapy: A Case Report |
title_short |
Spontaneous Resolution of Non Traumatic Chronic Subdural Haematoma Despite Continued Antiplatelet Therapy: A Case Report |
title_full |
Spontaneous Resolution of Non Traumatic Chronic Subdural Haematoma Despite Continued Antiplatelet Therapy: A Case Report |
title_fullStr |
Spontaneous Resolution of Non Traumatic Chronic Subdural Haematoma Despite Continued Antiplatelet Therapy: A Case Report |
title_full_unstemmed |
Spontaneous Resolution of Non Traumatic Chronic Subdural Haematoma Despite Continued Antiplatelet Therapy: A Case Report |
title_sort |
spontaneous resolution of non traumatic chronic subdural haematoma despite continued antiplatelet therapy: a case report |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2015-06-01 |
description |
Spontaneous resolution of traumatic chronic subdural haematoma (CSDH) has been reported in literature. However, those with non
traumatic CSDH are exceedingly rare and none reported with continued antiplatelet therapy where it itself is an aetiological agent for
development of non traumatic CSDH. A 50-year-old male presented to us with a non haemorrhagic cerebellar infarct with a concomitant
CSDH without history of any trauma. Patient’s PT/INR, Bleeding time and Clotting time were normal. Patient was started on antiplatelet
therapy (Tablet Aspirin 150 mg OD) for the acute infarct. MR Brain at 1 month showed an increased size of CSDH. However patient
denied surgical evacuation hence we continued conservative line of management, however we continued anti-platelet therapy with close
neurological and coagulation profile monitoring that remained within normal range throughout the period of observation. CT at 5th month
showed complete resolution of CSDH. Patient was on antiplatelet drugs throughout the period of observation. Our case argues about
the role of antiplatelet therapy in patients with CSDH with contrary lesions requiring anticoagulation. |
topic |
anticoagulation haemorrhagic ischemic heart disease |
url |
https://jcdr.net/articles/PDF/6002/11864_CE[Ra]_F(P)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdf |
work_keys_str_mv |
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