Stereotactic brainstem biopsy in a patient with coagulopathy of unclear etiology: case report

Parenchymal hemorrhage is one of the most feared risks of stereotactic brain biopsies potentially resulting in neurological deficits or even a fatal outcome. Patients with disorders of the coagulation system are at particular risk, so identifying these is one of the main tasks prior to surgery. Some...

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Hauptverfasser: Beynon, Christopher (VerfasserIn) , Wick, Wolfgang (VerfasserIn) , Unterberg, Andreas (VerfasserIn) , Kiening, Karl (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 25.Januar 2012
In: Minimally invasive neurosurgery
Year: 2011, Jahrgang: 54, Heft: 05/06, Pages: 268-270
ISSN:1439-2291
DOI:10.1055/s-0031-1297989
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1055/s-0031-1297989
Verlag, Volltext: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0031-1297989
Volltext
Verfasserangaben:C. Beynon, T. Hoffmann, W. Wick, A. W. Unterberg, K. L. Kiening

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520 |a Parenchymal hemorrhage is one of the most feared risks of stereotactic brain biopsies potentially resulting in neurological deficits or even a fatal outcome. Patients with disorders of the coagulation system are at particular risk, so identifying these is one of the main tasks prior to surgery. Some patients may have a bleeding tendency despite normal laboratory values of the hemostatic system.</p> <p>We report the case of a patient with coagulopathy of unclear etiology undergoing a stereotactic brainstem biopsy.</p> <p>A medication scheme with tranexamic acid and desmopressin effectively decreased the patient’s bleeding time in vivo and the procedure was carried out without complications.</p> 
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