Case 1

Harutomo Hasegawa, Matthew Crocker and Pawan Singh Minhas

in Oxford Case Histories in Neurosurgery

Published on behalf of Oxford University Press

Published in print March 2013 | ISBN: 9780199599837
Published online April 2013 | e-ISBN: 9780191753503 | DOI:

Series: Oxford Case Histories

Case 1

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  • Neurosurgery
  • Trauma and Orthopaedic Surgery
  • Clinical Radiology


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A 78-year-old man was admitted to hospital with a 2 week history of progressive confusion and unsteadiness. His medical history included parkinsonism and a metallic mitral valve replacement. On examination his GCS was 14/15 (E4, V4, M6) (see ‘Glasgow Coma Scale and Score’, p. 196), and he had left-sided weakness. He was taking warfarin, and the INR was 3.8.

Chapter.  3586 words.  Illustrated.

Subjects: Neurosurgery ; Trauma and Orthopaedic Surgery ; Clinical Radiology

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