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Journal of Korean Neurosurgical Society 2008;44(5): 341-344.
doi: https://doi.org/10.3340/jkns.2008.44.5.341
Disseminated Intravascular Coagulation in a Patient Undergoing Removal of Metastatic Brain Tumor.
Ki Seong Eom, Jong Moon Kim, Tae Young Kim
Department of Neurosurgery, Wonkwang University College of Medicine, Iksan, Korea. tykim@wonkwang.ac.kr
The authors present a case of 68-year-old woman who underwent resection of a metastatic adenocarcinoma in the left parietooccipital area. The intraoperative course was uneventful; however, after closure of the scalp incision, increased bleeding from the suture line was noted. A computerized tomography scan that was performed immediately after operation revealed acute epidural hemorrhage with mass effect under the bone flap. The patient developed disseminated intravascular coagulation and immediate re-exploration was performed. This patient was successfully treated owing to early recognition of the condition and immediate treatment with transfusion. Neurosurgeons should be alert that hypercoagulabe state is common in cancer patients and consumptive coagulopathy can occur after resection of metastatic brain tumor.
Key Words: Disseminated intravascular coagulation; Brain tumor; Blood transfusion; Hemostasis
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