Stereotactic brainstem biopsy in a patient with coagulopathy of unclear etiology

• Verfasst von: Beynon, Christopher [VerfasserIn]
• Verfasst von: Wick, Wolfgang [VerfasserIn]
• Verfasst von: Unterberg, Andreas [VerfasserIn]
• Verfasst von: Kiening, Karl [VerfasserIn]
• Titel: Stereotactic brainstem biopsy in a patient with coagulopathy of unclear etiology
• Titelzusatz: case report
• Verf.angabe: C. Beynon, T. Hoffmann, W. Wick, A. W. Unterberg, K. L. Kiening
• E-Jahr: 2012
• Jahr: 25.Januar 2012
• Jahr des Originals: 2011
• Umfang: 3 S.
• Fussnoten: Publikationsdatum: 25.Januar 2012 (online) ; Gesehen am 15.06.2018
• Titel Quelle: Enthalten in: Minimally invasive neurosurgery
• Ort Quelle: Stuttgart [u.a.] : Thieme, 1958
• Jahr Quelle: 2011
• Band/Heft Quelle: 54(2011), 05/06, Seite 268-270
• ISSN Quelle: 1439-2291
• DOI: doi:10.1055/s-0031-1297989
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 157639381X

Abstract

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>