Disseminated Intravascular Coagulation Developing Following Removal of Ependymoma in the 4th Ventricle: Case Report.

Doh, Jong Oung; Kim, Young Soo

Original Article

Journal of Korean Neurosurgical Society 1979;8(1): 47-52.

Department of Neurosurgery, National Medical Center, Seoul, Korea.

ABSTRACT

Disseminated intravascular coagulation(DIC) occurs rarely in head injury, but has not previously been reported following elective brain tumor surgery. There have been two case reports of DIC associated with primary brain tumors in the world literature. Vardi et al.(1974) reported an autopsy case(19F) of DIC associated with a medically treated oligodendroglioma in the left parietotemporal lobe invaded the ventricle. The second case(23F) was reported by Matjasko and Ducker and the case developed fulminating DIC during the removal of a third ventricular perihypothalamic oligodendroglioma. They couldn't get autopsy permission. The authors report the occurrence of fulminating DIC following removal of a fourth ventricular Ependymoma in a 5-yr. old boy, which was conformed by autopsy. This may be the third case of DIC associated with primary brain tumor and the first autopsy case of DIC developing following removal of Ependymoma in the fourth ventricle.