Diagnosis and treatment of brain compression in children with hemostasis disorders
M. L. Lagunavichene,
S. N. Larionov,
Y. A. Aleksandrov,
A. V. Livadarov,
P. G. Gruzin,
A. V. Rudakova,
E. G. Osipova https://doi.org/10.17650/2073-8803-2021-16-4-42-48
Abstract
We describe the diagnosis of and treatment for brain compression on background of hemostasis disorders in 6 out of 37 patients with hemorrhagic strokes treated in the Ivano-Matreninskaya Children’s Clinical Hospital in 2017–2018. Laboratory examination revealed factor VIII deficiency (hemophilia A) in 3 patients, factor XIII deficiency in one patient; 2 children were carriers of thrombophilia genetic polymorphisms. The age of study participants varied between 15 days and 2 years; all of them were males. They have undergone neurological examination, laboratory testing (hemostasis), neurosonography, multislice computed tomography, and magnetic resonance imaging. Conservative therapy with quarantined fresh frozen plasma (15–25 mL/kg) was used to correct coagulopathy and stop bleeding. Two patients had surgeries: decompressive craniectomy and drainage and endoscopic removal of hematoma. Children that were operated on received transfusion of fresh frozen plasma and red blood cells. Both of them had regression of neurological symptoms and restoration of consciousness in the postoperative period. None of the patients died. In this article, we discuss diagnostics and strategy of conservative and surgical treatment for children with brain compression and coagulopathies.
About the Authors
M. L. Lagunavichene
Department of Neurosurgery, Ivano-Matreninskaya Children’s Clinical Hospital
Russian Federation
Russian Federation
Margarita Lvovna Lagunavichene
664007, Irkutsk, Sovetskaya St., 57
S. N. Larionov
Department of Neurosurgery, Ivano-Matreninskaya Children’s Clinical Hospital
Russian Federation
Russian Federation
664007, Irkutsk, Sovetskaya St., 57
Y. A. Aleksandrov
Department of Neurosurgery, Ivano-Matreninskaya Children’s Clinical Hospital
Russian Federation
Russian Federation
664007, Irkutsk, Sovetskaya St., 57
A. V. Livadarov
Department of Neurosurgery, Ivano-Matreninskaya Children’s Clinical Hospital
Russian Federation
Russian Federation
664007, Irkutsk, Sovetskaya St., 57
P. G. Gruzin
Department of Neurosurgery, Ivano-Matreninskaya Children’s Clinical Hospital
Russian Federation
Russian Federation
664007, Irkutsk, Sovetskaya St., 57
A. V. Rudakova
Department of Neurosurgery, Ivano-Matreninskaya Children’s Clinical Hospital
Russian Federation
Russian Federation
664007, Irkutsk, Sovetskaya St., 57
E. G. Osipova
Department of Pathology and Premature Infants, Ivano-Matreninskaya Children’s Clinical Hospital
Russian Federation
Russian Federation
664007, Irkutsk, Sovetskaya St., 57
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Review
For citations:
Lagunavichene M.L., Larionov S.N., Aleksandrov Y.A., Livadarov A.V., Gruzin P.G., Rudakova A.V., Osipova E.G. Diagnosis and treatment of brain compression in children with hemostasis disorders. Russian Journal of Child Neurology. 2021;16(4):42-48. (In Russ.) https://doi.org/10.17650/2073-8803-2021-16-4-42-48
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