Postoperative hemorrhage in an elderly patient with a glioblastoma multiform and a calcified chronic subdural hematoma

World Journal of Surgical Oncology

Case Report

Ruicong Chen¹  Hao Lin¹  Jinhua Chen¹  Yanting Zhang¹  Xiaoxin Bai¹  Shaoxue Li¹  Shengping Huang¹  Jun Cai² 

[1] Department of Neurosurgery, Guangdong Provincial Hospital of Traditional Chinese Medicine (Affiliated Hospital at Guangzhou Higher Education Mega Center), 55 West Inner Circle Road, 510006, Guangzhou, China;The Second Institute of Clinical Medicine, Guangzhou University of Chinese Medicine, 510120, Guangzhou, China;Department of Neurosurgery, Guangdong Provincial Hospital of Traditional Chinese Medicine (Affiliated Hospital at Guangzhou Higher Education Mega Center), 55 West Inner Circle Road, 510006, Guangzhou, China;The Second Institute of Clinical Medicine, Guangzhou University of Chinese Medicine, 510120, Guangzhou, China;Post-doctoral Research Center of Guangzhou University of Chinese Medicine, 510405, Guangzhou, China;

关键词: Chronic subdural hematoma;    Disseminated intravascular coagulation;    Glioblastoma multiform;   

DOI  :  10.1186/1477-7819-12-110

 received in 2013-03-19, accepted in 2014-04-07,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundCases 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 descriptionWe 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.ConclusionsWe 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.

【 授权许可】

Unknown   
© Cai et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.