Your browser doesn't support javascript.
loading
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.
Afiliación
  • Huang S; Department of Neurosurgery, Guangdong Provincial Hospital of Traditional Chinese Medicine (Affiliated Hospital at Guangzhou Higher Education Mega Center), 55 West Inner Circle Road, Guangzhou 510006, China. huangsp_gdhtcm@163.com.
World J Surg Oncol ; 12: 110, 2014 Apr 23.
Article en En | MEDLINE | ID: mdl-24754873
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.
Asunto(s)

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Glioblastoma / Hemorragia Posoperatoria / Hematoma Subdural Crónico Tipo de estudio: Prognostic_studies Límite: Aged / Humans / Male Idioma: En Revista: World J Surg Oncol Año: 2014 Tipo del documento: Article

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Glioblastoma / Hemorragia Posoperatoria / Hematoma Subdural Crónico Tipo de estudio: Prognostic_studies Límite: Aged / Humans / Male Idioma: En Revista: World J Surg Oncol Año: 2014 Tipo del documento: Article