We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Intracranial Hemorrhage During Systemic Anticoagulation in Patients With Cerebral Metastasis

Mark W. Wolfe, MD
Arch Intern Med. 1988;148(8):1878-1879. doi:10.1001/archinte.1988.00380080134035.
Text Size: A A A
Published online


To the Editor.  —It was with great interest that I read the recent article by Olin et al,1 with regard to therapeutic options in patients with primary and metastatic brain tumors who suffer from deep venous thrombosis and pulmonary emboli (PE). A retrospective study by Choucair et al2 supports the contention that anticoagulation in patients with primary brain tumors is reasonably safe, with 22 glioma patients with computed tomographic (CT) evidence of enhancing tumor undergoing systemic anticoagulation without intracranial hemorrhage. Olin et al1 present an additional 16 patients with primary brain tumors anticoagulated without clinically significant intracranial hemorrhage. Unfortunately, the data for patients with metastatic disease remain essentially anecdotal, with only nine patients with cerebral metastasis receiving anticoagulants in their study. Reviewing all the patients with cerebral metastasis at our institution from 1982 through 1986 (69 total patients) revealed two patients anticoagulated in the face of untreated


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.