Journal of Korean Neurosurgical Society

  • 제44권5호
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  • Pages.341-344
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  • 2008
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Disseminated Intravascular Coagulation in a Patient Undergoing Removal of Metastatic Brain Tumor

  • Eom, Ki-Seong (Department of Neurosurgery, Wonkwang University College of Medicine) ;
  • Kim, Jong-Moon (Department of Neurosurgery, Wonkwang University College of Medicine) ;
  • Kim, Tae-Young (Department of Neurosurgery, Wonkwang University College of Medicine)
  • 발행 : 2008.11.28
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초록

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.

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참고문헌

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피인용 문헌

  1. Disseminated Intravascular Coagulation During Resection of a Meningioma: Case Report vol.68, pp.4, 2011, https://doi.org/10.1227/neu.0b013e31820a181a