Brain trauma induced hyperfibrinolysis: a tale of two cases diagnosed on wheels of rotational thromboelastometry

Deepak Goel; Jyoti Kotwal; Sabina Langer; Amrita Saraf; Pallavi Prakhar

doi:10.18203/2320-6012.ijrms20253635

Authors

Deepak Goel Department of Haematology, Sir Gangaram Hospital, New Delhi, India
Jyoti Kotwal Department of Haematology, Sir Gangaram Hospital, New Delhi, India
Sabina Langer Department of Haematology, Sir Gangaram Hospital, New Delhi, India
Amrita Saraf Department of Haematology, Sir Gangaram Hospital, New Delhi, India
Pallavi Prakhar Department of Haematology, Sir Gangaram Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20253635

Keywords:

Brain injury, Hyperfibrinolysis, Rotational thromboelastometry

Abstract

Brain trauma including brain surgeries are medical emergencies which frequently cause abnormalities in the coagulation system which in turn leads to bleeding and poor outcomes. Routine coagulation tests often fail to diagnose these defects in the coagulation/fibrinolytic system in such critical emergencies. Viscoelastic tests are a rapid alternative which not only helps to diagnose these patients accurately but also at a much earlier time than routine coagulation tests. Here, we report two cases of brain surgeries who presented with bleeding in post operative period due to hyperfibrinolysis and they were correctly diagnosed and successfully treated with the help of rotational thomboelastometry whereas routine coagulation tests failed to do so.

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References

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