Title |
Valproic acid-associated low fibrinogen and delayed intracranial hemorrhage: case report and mini literature review
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Published in |
Drug Design, Development and Therapy, August 2013
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DOI | 10.2147/dddt.s47718 |
Pubmed ID | |
Authors |
Hai-Fei Chen, Li-Ping Xu, Zhi-Yong Luo, Zi-Qiang Yu, Zheng-Yang Li, Qing-Ya Cui, Long-Mei Qin, Yong-Ya Ren, Hong-Shi Shen, Jie-Qing Tang, Ling-Juan Jin, Jing-Jing Zhu, Jing Wang, Ke-Yuan Wang, Tian-Qin Wu, Zhao-Yue Wang |
Abstract |
A 41-year-old male had suffered from gradual hearing loss in his right ear for 2 years. Head computed tomography and magnetic resonance imaging scans showed a neoplasm in the cerebellopontine angle region, which was confirmed by the diagnosis of acoustic neurilemmoma by pathological findings after surgery. Following surgery, he routinely received valproic acid (VPA) to prevent seizures. However, the patient presented with hypofibrinogenemia and cerebral hemorrhage after taking VPA for 12 days. The hypofibrinogenemia recurred when VPA was re-administered. After withdrawal of VPA, his fibrinogen concentration rose to normal within several days. As far as we are aware, this is the first case of cerebral hemorrhage due to VPA to have been reported. Herein, as well as reporting on this case, a mini review of the relevant literature is also presented. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 2 | 100% |
Demographic breakdown
Type | Count | As % |
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Practitioners (doctors, other healthcare professionals) | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Switzerland | 1 | 4% |
Unknown | 25 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 5 | 19% |
Student > Doctoral Student | 3 | 12% |
Researcher | 3 | 12% |
Professor > Associate Professor | 3 | 12% |
Other | 2 | 8% |
Other | 4 | 15% |
Unknown | 6 | 23% |
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Medicine and Dentistry | 11 | 42% |
Agricultural and Biological Sciences | 2 | 8% |
Nursing and Health Professions | 1 | 4% |
Psychology | 1 | 4% |
Biochemistry, Genetics and Molecular Biology | 1 | 4% |
Other | 4 | 15% |
Unknown | 6 | 23% |