Concomitant bilateral posterior fossa and cervical spine subdural hematoma following anticoagulant therapy: A case report and literature review

Concomitant posterior fossa and spinal subdural hematoma (SDH) is an extremely rare disease entity. We present a chronic rheumatic valvular heart disease patient with atrial fibrillation on warfarin, diagnosed with posterior fossa and cervical spinal acute subdural hematoma (ASDH). The posterior fossa hematoma was managed surgically because the patient exhibited signs of increased intracranial pressure (ICP), while the cervical spine SDH was managed conservatively with a very good outcome. Surgical management of the symptomatic posterior fossa SDH with observation of the spinal SDH can be an option of management in this rare complication of oral anticoagulant therapy.