A Case Report of Tranexamic Acid for the Treatment of Chronic Subdural Hematoma in an 86-Year-Old Patient

被引：0

作者：

Gharaibeh, Shatha ^{[1
,2
]}

Shurman, Abdallah ^{[1
,2
]}

Gharaibeh, Abeer ^{[2
,3
]}

Torcuator, Roy ^{[4
,5
]}

机构：

[1] Univ Michigan Flint, Ctr Cognit & Neuroeth, Flint, MI 48502 USA

[2] Insight Res Inst, Clin Res, Flint, MI 48507 USA

[3] Insight Inst Neurosurg & Neurosci, Clin Res, Flint, MI USA

[4] Insight Inst Neurosurg & Neurosci, Neurosurg, Flint, MI USA

[5] Insight Surg Hosp, Neurosurg, Warren, MI USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 08期

关键词：

txa; surgery-preventing strategies; csdh; chronic subdural hematoma; tranexamic acid; BURR-HOLE EVACUATION;

D O I：

10.7759/cureus.66846

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Fibrinolytic and coagulative hyperactivity is proven to have a role in liquefaction and progression of chronic subdural hematoma (CSDH). Tranexamic acid was one of the pharmaceutical options that was explored, as it inhibits the hyper-fibrinolytic activity and reduces the vascular permeability in CSDH, leading to a gradual resolution of the hematoma. In this case study, we present a case of using tranexamic acid for CSDH treatment in an 86-year-old patient with co-morbidities. The complete resolution of the hematoma following using tranexamic acid in this case with no history of recurrence in two years follow-up supports its efficacy in CSDH treatment and may be considered as one of the strategies that help prevent surgeries.

引用

页数：5

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