Intratumoral Hemorrhage From a Posterior Fossa Tumor After Cardiac Valve Surgery. Case Report.
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- MAEDA Keiichiro
- Department of Neurosurgery, Suwa Chuou Hospital
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- GOTOH Hirohisa
- Department of Cardiovascular Surgery, Suwa Chuou Hospital
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- CHIKUI Emiko
- Department of Neurosurgery, Suwa Chuou Hospital
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- FURUSAWA Takehiko
- Department of Cardiovascular Surgery, Suwa Chuou Hospital
書誌事項
- タイトル別名
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- —Case Report—
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A 53-year-old woman suffered intracranial hemorrhage from a cerebellar tumor several days after aortic valve replacement. Surgical intervention was not performed because the patient refused blood infusion for religious reasons (Jehovah's Witness). Instead, the anticoagulation therapy was interrupted for a week, and the patient was conservatively treated with administration of mannitol and steroid. The anticoagulation therapy was restarted 7 days after the hemorrhage. The intratumoral hemorrhage did not recur, and no systemic embolism occurred. The tumor was treated with gamma knife radiosurgery 6 weeks after the hemorrhage, under the radiological diagnosis of meningioma. Anticoagulation therapy is routinely used for patients following cardiac surgery to decrease the risk of thromboembolic complications, but also increases the risk of hemorrhagic events which often involve the central nervous system. Temporary discontinuation of anticoagulation therapy is an option for intratumoral hemorrhage in patients with replacement heart valves, and patients with known brain tumors should be informed about the risk of intracranial hemorrhage before cardiac surgery.<br>
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 41 (11), 548-550, 2001
一般社団法人 日本脳神経外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282680025305600
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- NII論文ID
- 110002281424
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- NII書誌ID
- AN00358613
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- COI
- 1:STN:280:DC%2BD38%2FjtFKlug%3D%3D
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- ISSN
- 13498029
- 04708105
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- PubMed
- 11758708
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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- PubMed
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- 使用不可