Rinsho Shinkeigaku (Clinical Neurology)

Brief Clinical Note

Ultrasound findings of hamstring hematoma in a patient taking anticoagulants

Shinji Miyagawa, M.D.1), Ayumi Arai, M.T.2), Hidetaka Mitsumura, M.D.1) and Yasuyuki Iguchi, M.D., Ph.D.1)

1)Department of Neurology, The Jikei University School of Medicine
2)Department of Radiology, The Jikei University School of Medicine

A patient started anticoagulation for secondary prevention of stroke, achieving a prothrombin time-international normalized ratio within the optimal therapeutic range. The patient subsequently complained of pain in the left thigh on hospital day 25, and ultrasonography showed a large intramuscular hematoma in the left hamstring. The intramuscular hematoma gradually reduced without surgical intervention. Ultrasound examination plays an important role in precisely diagnosing intramuscular hematoma and monitoring changes in hematoma size.
Full Text of this Article in Japanese PDF (397K)

(CLINICA NEUROL, 55: 353|355, 2015)
key words: intramuscular hematoma, ultrasonography, warfarin, cardioembolic stroke, hamstring

(Received: 20-Jul-14)