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Minim Invasive Neurosurg · Oct 2011
Case ReportsStereotactic brainstem biopsy in a patient with coagulopathy of unclear etiology: case report.
- C Beynon, T Hoffmann, W Wick, A W Unterberg, and K L Kiening.
- Department of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany. christopher.beynon@med.uniheidelberg.de
- Minim Invasive Neurosurg. 2011 Oct 1; 54 (5-6): 268-70.
BackgroundParenchymal 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.Case ReportWe report the case of a patient with coagulopathy of unclear etiology undergoing a stereotactic brainstem biopsy.ConclusionA medication scheme with tranexamic acid and desmopressin effectively decreased the patient's bleeding time in vivo and the procedure was carried out without complications.© Georg Thieme Verlag KG Stuttgart · New York.
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