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Postoperative hemorrhage in an elderly patient with a glioblastoma multiform and a calcified chronic subdural hematoma

BACKGROUND: Cases with brain tumor and subdural hematoma are rare; surgical management of the elderly patients with a glioblastoma multiform (GBM) and a chronic subdural hematoma (CSDH) can be intractable. CASE DESCRIPTION: We report a 77-year-old patient, who had a left front lobe GBM and a giant,...

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Autores principales: Cai, Jun, Zhang, Yanting, Bai, Xiaoxin, Li, Shaoxue, Chen, Jinhua, Chen, Ruicong, Lin, Hao, Huang, Shengping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4005469/
https://www.ncbi.nlm.nih.gov/pubmed/24754873
http://dx.doi.org/10.1186/1477-7819-12-110
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author Cai, Jun
Zhang, Yanting
Bai, Xiaoxin
Li, Shaoxue
Chen, Jinhua
Chen, Ruicong
Lin, Hao
Huang, Shengping
author_facet Cai, Jun
Zhang, Yanting
Bai, Xiaoxin
Li, Shaoxue
Chen, Jinhua
Chen, Ruicong
Lin, Hao
Huang, Shengping
author_sort Cai, Jun
collection PubMed
description BACKGROUND: Cases with brain tumor and subdural hematoma are rare; surgical management of the elderly patients with a glioblastoma multiform (GBM) and a chronic subdural hematoma (CSDH) can be intractable. CASE DESCRIPTION: We report a 77-year-old patient, who had a left front lobe GBM and a giant, calcified, left frontoparietaloccipitotemporal CSDH. The patient recovered well from anesthesia after removal of the GBM and CSDH. However, the patient developed severe hemiplegia and aphasia because of the in-situ hemorrhage 1 day later. Laboratory tests indicated disseminated intravascular coagulation (DIC) leading to the postoperative hemorrhage. The patient was left with hemiparesis and alalia after the in-situ hematoma evacuation. CONCLUSIONS: We presume elderly patients have a higher incidence of postoperative hemorrhage in residual intracranial cavity owing to higher possibility to get DIC. A less aggressive surgical management could be a more appropriate choice.
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spelling pubmed-40054692014-05-01 Postoperative hemorrhage in an elderly patient with a glioblastoma multiform and a calcified chronic subdural hematoma Cai, Jun Zhang, Yanting Bai, Xiaoxin Li, Shaoxue Chen, Jinhua Chen, Ruicong Lin, Hao Huang, Shengping World J Surg Oncol Case Report BACKGROUND: Cases with brain tumor and subdural hematoma are rare; surgical management of the elderly patients with a glioblastoma multiform (GBM) and a chronic subdural hematoma (CSDH) can be intractable. CASE DESCRIPTION: We report a 77-year-old patient, who had a left front lobe GBM and a giant, calcified, left frontoparietaloccipitotemporal CSDH. The patient recovered well from anesthesia after removal of the GBM and CSDH. However, the patient developed severe hemiplegia and aphasia because of the in-situ hemorrhage 1 day later. Laboratory tests indicated disseminated intravascular coagulation (DIC) leading to the postoperative hemorrhage. The patient was left with hemiparesis and alalia after the in-situ hematoma evacuation. CONCLUSIONS: We presume elderly patients have a higher incidence of postoperative hemorrhage in residual intracranial cavity owing to higher possibility to get DIC. A less aggressive surgical management could be a more appropriate choice. BioMed Central 2014-04-23 /pmc/articles/PMC4005469/ /pubmed/24754873 http://dx.doi.org/10.1186/1477-7819-12-110 Text en Copyright © 2014 Cai et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Case Report
Cai, Jun
Zhang, Yanting
Bai, Xiaoxin
Li, Shaoxue
Chen, Jinhua
Chen, Ruicong
Lin, Hao
Huang, Shengping
Postoperative hemorrhage in an elderly patient with a glioblastoma multiform and a calcified chronic subdural hematoma
title Postoperative hemorrhage in an elderly patient with a glioblastoma multiform and a calcified chronic subdural hematoma
title_full Postoperative hemorrhage in an elderly patient with a glioblastoma multiform and a calcified chronic subdural hematoma
title_fullStr Postoperative hemorrhage in an elderly patient with a glioblastoma multiform and a calcified chronic subdural hematoma
title_full_unstemmed Postoperative hemorrhage in an elderly patient with a glioblastoma multiform and a calcified chronic subdural hematoma
title_short Postoperative hemorrhage in an elderly patient with a glioblastoma multiform and a calcified chronic subdural hematoma
title_sort postoperative hemorrhage in an elderly patient with a glioblastoma multiform and a calcified chronic subdural hematoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4005469/
https://www.ncbi.nlm.nih.gov/pubmed/24754873
http://dx.doi.org/10.1186/1477-7819-12-110
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