Ongoing intracerebral bleeding despite hemostatic treatment associated with a spot sign in a patient on oral anticoagulation therapy.


Stroke Notes nial CT at 09: 43 revealed an ICH of 17 ml volume (fig. 1 a). We immediately administered 1,500 units of prothrombin complex concentrates (PCC) within 15 min. However, despite an INR of 1.5 the patient deteriorated within 1 h. CT at 10: 59 revealed an expansion of the hematoma to a volume of 84 ml (fig. 1 b). At this time, we also detected a… (More)
DOI: 10.1159/000253146


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