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Child's Nervous System
Published in: Child's Nervous System 7/2017

01-07-2017 | Case Report

Damage control surgery in intracerebral hemorrhage in acute leukemia: a review of two cases

Authors: Jaskaran Singh, Kanwaljeet Garg, Rajeev Sharma, Sumit Sinha, Shashank Sharad Kale

Published in: Child's Nervous System | Issue 7/2017

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Abstract

Introduction

Intracerebral hemorrhage is the second most common cause of mortality (after infections) in acute leukemia and is responsible for approximately 20% of deaths due to acute leukemia. Management of intracerebral hemorrhage (ICH) is mostly conservative but there exist certain patients who need emergent surgery due to the poor Glasgow Coma Scale (GCS) despite their coagulopathic state.

Case report

We present here two such cases which were successfully managed with decompressive craniectomy which was done as a damage control surgery thus stating the importance of surgical intervention in the management of acutely deteriorating patients rather than the commonly employed conservative management due to their coagulopathic state.
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Metadata
Title
Damage control surgery in intracerebral hemorrhage in acute leukemia: a review of two cases
Authors
Jaskaran Singh
Kanwaljeet Garg
Rajeev Sharma
Sumit Sinha
Shashank Sharad Kale
Publication date
01-07-2017
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 7/2017
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-017-3401-6

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