Use of Prothrombin Complex Concentrate for Warfarin Reversal Before the Performance of an Epidural Blood Patch in a Patient With Cortical Vein Thrombosis and Subdural Hematoma: A Case Report

Kallol Chaudhuri, Cooper W. Phillips, Swapna Chaudhuri, John Wasnick

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Compared to conventional therapy, several studies with prothrombin complex concentrate (PCC) have recently demonstrated its superior efficacy in rapidly replacing vitamin K-dependent factors for patients with life-threatening hemorrhage. We present a novel use of PCC in a patient with intracranial hypotension, who had received warfarin for treatment of cortical vein thrombosis. However, after anticoagulation, she proceeded to develop bilateral subdural hematomas with descent of cerebellar tonsils. Given the possibility of an occult dural puncture during labor analgesia, an epidural blood patch was performed after administration of PCC and normalization of coagulation parameters, with prompt improvement of the patient's headache.

Original languageEnglish (US)
Pages (from-to)36-38
Number of pages3
JournalA & A case reports
Volume8
Issue number2
DOIs
StatePublished - Jan 15 2017

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Epidural Blood Patch
Subdural Hematoma
Warfarin
Veins
Thrombosis
Intracranial Hypotension
Vitamin K
Palatine Tonsil
Punctures
Analgesia
Headache
Hemorrhage
Therapeutics
prothrombin complex concentrates

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Use of Prothrombin Complex Concentrate for Warfarin Reversal Before the Performance of an Epidural Blood Patch in a Patient With Cortical Vein Thrombosis and Subdural Hematoma : A Case Report. / Chaudhuri, Kallol; Phillips, Cooper W.; Chaudhuri, Swapna; Wasnick, John.

In: A & A case reports, Vol. 8, No. 2, 15.01.2017, p. 36-38.

Research output: Contribution to journalArticle

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