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Intracerebral haematomas after deep brain stimulation surgery in a patient with Tourette syndrome and low factor XIIIA activity |
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| Authors: | Zamzuri Idris Abdul Rahman I. Ghani Winn Mar Shalini Bhaskar Wan N. Wan Hassan John Tharakan Jafri M. Abdullah Julia Omar Saruddin Abass Suryati Hussin Wan Z. Abdullah |
| Affiliation: | 1. Department of Pharmacobiology, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional, Mexico City 14330, México;2. Instituto de Fisiología Celular, Universidad Nacional Autónoma de México, Ciudad Universitaria, México D.F. 04510, México |
| Abstract: | A 24-year-old male patient with refractory Tourette syndrome was treated with deep brain stimulation (DBS) and developed subsequent bilateral subcortical haematomas. Additional blood tests revealed abnormalities of plasma factor XIIIA and tryptophan levels, which may be associated with Tourette syndrome. Neurosurgeons who perform DBS surgery on patients with Tourette syndrome must be aware of possible disastrous complications resulting from factor XIIIA disorders of blood haemostasis. Routine screening for this condition is not typically performed prior to surgery in these patients. |
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