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Bilateral Spontaneous Acute Subdural Hematoma of the Posterior Fossa

Case Report

Spina, Alfio MD; Boari, Nicola MD; Gagliardi, Filippo MD; Mortini, Pietro MD

doi: 10.1097/WNQ.0000000000000136
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Spontaneous intracranial hemorrhage is a major complication of anticoagulant therapy, with a report of 0.3% to 0.7% per year. Spontaneous posterior fossa acute subdural hematomas are very rare; to the best of our knowledge, only 10 cases have been previously reported in the literature. We report a further case with unusual radiologic findings in a thrombocytopenic and anticoagulated patient. We review the pertinent literature and discuss athe current management of this pathological entity.

Department of Neurosurgery and Gamma Knife Radiosurgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy

The authors declare no conflict of interest.

Reprints: Alfio Spina, MD, Department of Neurosurgery and Gamma Knife Radiosurgery, San Raffaele Scientific Institute, Via Olgettina 60, Milano 20132, Italy (e-mail: spina.alfio@hsr.it).

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