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We report a series of 40 patients with anticoagulation-related intracerebral hemorrhage. Minor head trauma was most often noted as an additional factor causing the hemorrhage. Overall mortality was 50%. Only noncomatose patients survived. The fate of the surviving patients was quite favorable. Eighteen (90%) recovered completely and only 2 (10%) were left disabled. One third of the patients were anticoagulated without a medical indication. Therefore, the most efficient way to reduce anticoagulation-related cerebral hemorrhages would be to follow today''s medical guidelines for anticoagulation treatment more carefully than many physicians do. Treatment of anticoagulation-related cerebral hemorrhage consists in discontinuation of anticoagulation, administration of clotting factors and vitamin K, and surgical drainage of the hematoma in selected cases.
Forsting et al. (Fri,) studied this question.