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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,...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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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. |
format | Online Article Text |
id | pubmed-4005469 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
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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