title: Postoperative hemorrhage in an elderly patient with a glioblastoma multiform and a calcified chronic subdural hematoma.
abstract: BACKGROUND
  Cases 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.
  
  
  METHODS
  We 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.
  
  
  CONCLUSIONS
  We 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.
authors.forename: Jun
authors.initials: J
authors.lastname: Cai
authors.forename: Yanting
authors.initials: Y
authors.lastname: Zhang
authors.forename: Xiaoxin
authors.initials: X
authors.lastname: Bai
authors.forename: Shaoxue
authors.initials: S
authors.lastname: Li
authors.forename: Jinhua
authors.initials: J
authors.lastname: Chen
authors.forename: Ruicong
authors.initials: R
authors.lastname: Chen
authors.forename: Hao
authors.initials: H
authors.lastname: Lin
authors.affiliation: Department of Neurosurgery, Guangdong Provincial Hospital of Traditional Chinese Medicine (Affiliated Hospital at Guangzhou Higher Education Mega Center), 55 West Inner Circle Road, Guangzhou 510006, China. huangsp_gdhtcm@163.com.
authors.forename: Shengping
authors.initials: S
authors.lastname: Huang
mesh_terms: D000368:Aged; D005909:Glioblastoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D020200:Hematoma, Subdural, Chronic / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D019106:Postoperative Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D011379:Prognosis; D014057:Tomography, X-Ray Computed
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