The other point is if INR is controlled and ??small subdural - no surgery
likely, with relatively normal patient, why scan? can we not base our decisions
on clinical parameters. i have yet to come across a neurosurgeon who is really
keen to stick knife into patient on warfarin with GCS 15 and little symtoms.
I do stand to be corrected - but we should treat the patient - not the scan.
And yes I do pertain to the idea of at least it gives some direction in the
management and stratifies risk etc - but this is an increasing problem.
What % patients with MHI and GCS 15 and little symptoms end up with surgical
knife in head?
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