A CASE OF ACUTE PULMONARY THROMBOEMBOLISM AFTER CRANIOTOMY DUE TO HEAD INJURY DURING ANTITHROMBOTIC THERAPY

MINOWA Keita, KON Akihide, KONNO Shingo, NODAGASHIRA Tatsuya, TOKURA Tomohisa, YOSHIMURA Yuya

doi:10.11382/jjast.38.3_06

Bibliographic Information

Other Title

抗血栓療法中に頭部外傷を呈し開頭手術後に急性肺血栓塞栓症を呈した1例

Abstract

<p>　　A man in his fifties slipped and fell in a parking lot, hitting his head. He was taking two antithrombotic medications. The patient visited our hospital for headache. Physical examination revealed tenderness in the occipital area. CT revealed acute subdural hematoma and cerebral contusion. After admission, the patient exhibited disorientation, followed by aphasia and paralysis. Subsequent CT scans revealed exacerbation of intracranial lesions, prompting us to perform craniotomy on day 3. We had intended to start anticoagulant therapy once we determined that the risk of postoperative hemorrhagic complications was low, but the patient developed pulmonary thromboembolism and went into cardiac arrest temporarily on day 15. We performed resuscitation and the patient survived. We initiated anticoagulant therapy with heparin. The patient recovered with the therapy and was transferred for rehabilitation on day 61. Anticoagulant therapy should be considered in the early postoperative period to prevent venous thromboembolism after head injury surgery.</p>

Journal

Journal of the Japanese Association for the Surgery of Trauma

Journal of the Japanese Association for the Surgery of Trauma advpub (0), 2024

The Japanese Association for the Surgery of Trauma

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Details 詳細情報について

CRID: 1390299837599506432

DOI: 10.11382/jjast.38.3_06

ISSN: 21880190; 13406264

Text Lang: ja

Data Source

JaLC

Abstract License Flag: Disallowed

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