Uncomplicated stereotactic and open neurosurgical procedures in patients with factor vii deficiency

Stephen E. Doran, Thomas R. Henry, Paula L. Bockenstedt, Donald (Don) Ross

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Factor VII deficiency is characterized by epistaxis, bruising, hemarthrosis, mennorrhagia, gastrointestinal bleeding, hematuria, and intracranial hemorrhage during infancy. Causes of acquired factor VII deficiency include liver disease, Vitamin K deficiency, and warfarin administration. Congenital factor VII deficiency is an autosomal recessive disorder, with the homozygotes having a severe deficiency and the hetereozygotes a moderate deficiency of factor VII. Orthopedic, gynecological, cardiothoracic, and abdominal surgical procedures have been successfully performed in patients with factor VII deficiency both with and without factor VII replacement. We present two patients with moderate and moderately severe factor VII deficiency who successfully underwent intracranial procedures using plasma during the perioperative period for factor VII replacement. One patient successfully underwent stereotactic placement of mesial temporal lobe depth electrodes and subdural strip electrodes followed by anterior temporal lobectomy for medically refractory seizures. The second patient successfully underwent craniotomy for an olfactory groove meningioma. No bleeding complications were encountered with any of the three intracranial procedures performed. These cases represent the first reported cases of successful intracranial procedures in patients with factor VII deficiency, other than shunting procedures performed for intraventricular hemorrhage during infancy.

Original languageEnglish (US)
Pages (from-to)79-82
Number of pages4
JournalSurgical Neurology
Volume42
Issue number1
DOIs
StatePublished - 1994
Externally publishedYes

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Factor VII Deficiency
Neurosurgical Procedures
Factor VII
Hemorrhage
Electrodes
Anterior Temporal Lobectomy
Vitamin K Deficiency
Hemarthrosis
Epistaxis
Perioperative Period
Intracranial Hemorrhages
Craniotomy
Homozygote
Meningioma
Hematuria
Warfarin
Temporal Lobe
Orthopedics
Liver Diseases
Seizures

Keywords

  • Craniotomy
  • Factor VII deficiency
  • Neurosurgery
  • Stereotactic

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Uncomplicated stereotactic and open neurosurgical procedures in patients with factor vii deficiency. / Doran, Stephen E.; Henry, Thomas R.; Bockenstedt, Paula L.; Ross, Donald (Don).

In: Surgical Neurology, Vol. 42, No. 1, 1994, p. 79-82.

Research output: Contribution to journalArticle

Doran, Stephen E. ; Henry, Thomas R. ; Bockenstedt, Paula L. ; Ross, Donald (Don). / Uncomplicated stereotactic and open neurosurgical procedures in patients with factor vii deficiency. In: Surgical Neurology. 1994 ; Vol. 42, No. 1. pp. 79-82.
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