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Case Report

Intracranial Hemorrhage in Patient Treated with Rivaroxaban

Department of Neurology, New York Medical College, Munger Pavilion, 4th Floor, 40 Sunshine Cottage Road, Valhalla, NY 10595, USA
*
Author to whom correspondence should be addressed.
Hematol. Rep. 2014, 6(1), 5283; https://doi.org/10.4081/hr.2014.5283
Submission received: 2 January 2014 / Revised: 12 February 2014 / Accepted: 24 March 2014 / Published: 28 March 2014

Abstract

Rivaroxaban is an oral factor Xa inhibitor used for stroke prevention in atrial fibrillation. There are currently no evidence-based guidelines for the treatment of hemorrhagic side effects of factor Xa inhibitors. We report a case of a thalamic hemorrhage in an 84 year-old right-handed female on rivaroxaban for treatment of atrial fibrillation. The patient had fallen down steps and became unresponsive. She was found to have diffuse scattered acute subarachnoid hemorrhage as well as intraventricular hemorrhage. Neurosurgical intervention was not required in this case, but controversy over decision making to pursue pro-coagulant therapy in the setting of worsening hemorrhage requiring emergent surgery is discussed.
Keywords: rivaroxaban; factor Xa inhibitor rivaroxaban; factor Xa inhibitor

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MDPI and ACS Style

Molina, M.; Hillard, V.H.; Fekete, R. Intracranial Hemorrhage in Patient Treated with Rivaroxaban. Hematol. Rep. 2014, 6, 5283. https://doi.org/10.4081/hr.2014.5283

AMA Style

Molina M, Hillard VH, Fekete R. Intracranial Hemorrhage in Patient Treated with Rivaroxaban. Hematology Reports. 2014; 6(1):5283. https://doi.org/10.4081/hr.2014.5283

Chicago/Turabian Style

Molina, Michelle, Virany H. Hillard, and Robert Fekete. 2014. "Intracranial Hemorrhage in Patient Treated with Rivaroxaban" Hematology Reports 6, no. 1: 5283. https://doi.org/10.4081/hr.2014.5283

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