Surgical treatment of intracranial hematoma in congenital factor XIII deficiency.
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概要
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An operative case of intracranial hematoma associated with congenital factor XIII deficiency is reported. A 22-year-old male was admitted to our service on November 2, 1993, because of progressive headache with scintillating scotoma for the previous 3 days. Initial CT scan showed a right occipital subcortical hematoma. Cerebral angiography disclosed a right occipital mass lesion only. Routine laboratory studies on admission, including hematological examination, were all normal. His condition gradually deteriorated until the 7th hospital day. An occipital craniotomy was thus performed. Exceptional bleeding forced us to transfuse fresh blood during the operation. The hematoma was successfully evacuated. The postoperative course was uneventful and the patient was discharged without neurological deficits. Detailed hematological postoperative studies revealed that the patient was deficient in factor XIII, deficiency of which was detected in his mother as well, thus confirming the diagnosis of congenital factor XIII deficiency. Diagnosis and treatment of the disease are discussed herein. Quantitative analysis of coagulation factors is recommended in all patients with unexplained non-traumatic intracerebral hemorrhage.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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