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...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
25.Januar 2012
|
| In: |
Minimally invasive neurosurgery
Year: 2011, Volume: 54, Issue: 05/06, Pages: 268-270 |
| ISSN: | 1439-2291 |
| DOI: | 10.1055/s-0031-1297989 |
| Online Access: | 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 
|
| Author Notes: | C. Beynon, T. Hoffmann, W. Wick, A. W. Unterberg, K. L. Kiening |
| Summary: | 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> |
|---|---|
| Item Description: | Publikationsdatum: 25.Januar 2012 (online) Gesehen am 15.06.2018 |
| Physical Description: | Online Resource |
| ISSN: | 1439-2291 |
| DOI: | 10.1055/s-0031-1297989 |