Document Detail


Two rare complications of glioblastoma multiforme: persistent hiccup and acquired haemophilia A.
MedLine Citation:
PMID:  18663257     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 69-year-old man was admitted to the hospital with persistent hiccups. Computed tomography and magnetic resonance imaging of the brain were performed and revealed a glioblastoma multiforme localised in the right temporal lobe. After resection, the hiccups disappeared, suggesting that temporal areas are involved in control mechanisms of hiccups. A month later, the patient was readmitted because of skin, mucosal and soft tissue bleedings. Laboratory findings showed a prolonged aPTT, a low factor VIII activity and a factor VIII inhibitor, leading to the diagnosis of acquired haemophilia A. Acquired haemophilia A is a potentially life-threatening haemorrhagic disorder resulting from the presence of antibodies against factor VIII. We believe that this disorder developed due to exposure of factor VIII(-like) tumour antigens to the immune system. This case illustrates two yet unknown complications of a glioblastoma multiforme: persistent hiccups and acquired haemophilia A.
Authors:
C M P G van Durme; R N Idema; C van Guldener
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Netherlands journal of medicine     Volume:  66     ISSN:  0300-2977     ISO Abbreviation:  Neth J Med     Publication Date:    2008 Jul-Aug
Date Detail:
Created Date:  2008-07-29     Completed Date:  2008-09-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0356133     Medline TA:  Neth J Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  286-8     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Amphia Hospital, Breda, the Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Aged
Brain Neoplasms / complications*,  diagnosis
Diagnosis, Differential
Factor VII / metabolism
Glioblastoma / complications*,  diagnosis
Hemophilia A / blood,  diagnosis,  etiology*
Hiccup / diagnosis,  etiology*
Humans
Magnetic Resonance Imaging
Male
Temporal Lobe*
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
9001-25-6/Factor VII

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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