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Intracranial hemorrhage sparing meningioma in an anticoagulated patient.
J Neuroimaging. 2007 Jul; 17(3):246-50.JN

Abstract

BACKGROUND AND PURPOSE

The risk of intracerebral hemorrhage (ICH) in patients receiving antithrombotic therapy is well known. However, there is sparse literature regarding the risk of intracerebral hemorrhage in patients receiving warfarin, who have an intracranial meningioma.

METHODS AND RESULTS

We report a case of a 66-year-old man who developed multifocal ICHs in the context of supratherapeutic anticoagulation. There was sparing of the intracranial meningioma despite the development and growth of multiple intraparenchymal hemorrhages that resulted in death. We also review the literature evaluating the risk of ICH in anticoagulated patients with an intracranial meningioma.

CONCLUSIONS

The findings of this case lend further support to the gradually developing notion of relative safety of anticoagulation in patients with meningioma. They also underscore the importance of close monitoring of the INR.

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Authors+Show Affiliations

Romero JR
Department of Neurology, Boston University Medical Center, Boston, Massachusetts 02118, USA. joromero@bmc.org
Sakai O
No affiliation info available
Rice MB
No affiliation info available
Babikian VL
No affiliation info available

MeSH

AgedAnticoagulantsBrain NeoplasmsDiagnosis, DifferentialFatal OutcomeHumansIntracranial HemorrhagesMaleMeningiomaTomography, X-Ray ComputedWarfarin

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17608911

Citation

Romero, José Rafael, et al. "Intracranial Hemorrhage Sparing Meningioma in an Anticoagulated Patient." Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging, vol. 17, no. 3, 2007, pp. 246-50.
Romero JR, Sakai O, Rice MB, et al. Intracranial hemorrhage sparing meningioma in an anticoagulated patient. J Neuroimaging. 2007;17(3):246-50.
Romero, J. R., Sakai, O., Rice, M. B., & Babikian, V. L. (2007). Intracranial hemorrhage sparing meningioma in an anticoagulated patient. Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging, 17(3), 246-50.
Romero JR, et al. Intracranial Hemorrhage Sparing Meningioma in an Anticoagulated Patient. J Neuroimaging. 2007;17(3):246-50. PubMed PMID: 17608911.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intracranial hemorrhage sparing meningioma in an anticoagulated patient. AU - Romero,José Rafael, AU - Sakai,Osamu, AU - Rice,Mary Berlik, AU - Babikian,Viken L, PY - 2007/7/5/pubmed PY - 2007/9/7/medline PY - 2007/7/5/entrez SP - 246 EP - 50 JF - Journal of neuroimaging : official journal of the American Society of Neuroimaging JO - J Neuroimaging VL - 17 IS - 3 N2 - BACKGROUND AND PURPOSE: The risk of intracerebral hemorrhage (ICH) in patients receiving antithrombotic therapy is well known. However, there is sparse literature regarding the risk of intracerebral hemorrhage in patients receiving warfarin, who have an intracranial meningioma. METHODS AND RESULTS: We report a case of a 66-year-old man who developed multifocal ICHs in the context of supratherapeutic anticoagulation. There was sparing of the intracranial meningioma despite the development and growth of multiple intraparenchymal hemorrhages that resulted in death. We also review the literature evaluating the risk of ICH in anticoagulated patients with an intracranial meningioma. CONCLUSIONS: The findings of this case lend further support to the gradually developing notion of relative safety of anticoagulation in patients with meningioma. They also underscore the importance of close monitoring of the INR. SN - 1051-2284 UR - https://www.unboundmedicine.com/medline/citation/17608911/Intracranial_hemorrhage_sparing_meningioma_in_an_anticoagulated_patient_ L2 - https://doi.org/10.1111/j.1552-6569.2007.00111.x DB - PRIME DP - Unbound Medicine ER -