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...
Gespeichert in:
| Hauptverfasser: | , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
25.Januar 2012
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| 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 |
| Verfasserangaben: | C. Beynon, T. Hoffmann, W. Wick, A. W. Unterberg, K. L. Kiening |
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| 245 | 1 | 0 | |a Stereotactic brainstem biopsy in a patient with coagulopathy of unclear etiology |b case report |c 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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