Subdural hematoma medical therapy
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Subdural Hematoma Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.
Overview
Surgery is the mainstay of treatment for subdural hematoma. Pharmacologic medical therapies for subdural hematoma include corticosteroids, atorvastatin, tranexamic acid, etizolam, and ACE inhibitor.
Medical Therapy
- Surgery is the mainstay of treatment for subdural hematoma.
- Pharmacologic medical therapies for subdural hematoma include corticosteroids, atorvastatin, tranexamic acid, etizolam, and ACE inhibitor.[1]
- In patients with anticoagulation problem we have to correct the coagulation system:
- Prothrombin complex concentrate (PCC) for patients who use warfarin or other vitamin K antagonist (VKA)
- Idarucizumab for patients who use dabigatran
- Andexanet alfa for patients who use direct factor Xa inhibitor
- Protamine sulfate for patients who use heparin
References
- ↑ Thotakura, AmitKumar; Marabathina, NageswaraRao (2018). "The role of medical treatment in chronic subdural hematoma". Asian Journal of Neurosurgery. 13 (4): 976. doi:10.4103/ajns.AJNS_13_17. ISSN 1793-5482.