Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 6, Number 7, July 2015, pages 313-317

Life-Threatening Intracranial Hemorrhage With Unexpectedly High Prothrombin Time Following Venous Thromboembolism Prophylaxis

Figures

Figure 1.
Figure 1. CT of head done 1 week before admission showing no hemorrhage.
Figure 2.
Figure 2. Large right extra-axial hemorrhage with midline shift and small hemorrhage in left frontal region. There is also mild bilateral subarachnoid hemorrhage.
Figure 3.
Figure 3. Post-surgical CT of head showing persistent acute on chronic extra-axial hematoma. There is increase in the size of left frontal lobe hematoma. Note severe parafalcine herniation much worse than the previous CT scan.

Table

Table 1. Laboratory Investigations From Day of Admission
 
LabsOn admission3 days later4 days later
Hemoglobin12108.9
WBC3.53.67.0
Platelets172168196
PT/INR10.6/1.010.4/1.010.4/1.0
PTT29> 100. Repeat PTT was again > 100. PTT was 83 after 1 unit of FFP.53