Decompressive Craniectomy Together with Blood Component Transfusion as a Life-Saving Treatment for a Severe Traumatic Brain Injury Patient with Coagulopathy: A Case Report

Severe Traumatic Brain Injury (TBI) accompanied by impaired hemostasis, is a devastating and challenging emergency, due to its complicated mechanisms and lack of specific guidelines. Adequate and timely treatment is thought to be linked to improved survival. Herein, we report a 28-year-old Chinese man presenting with severe TBI accompanied by coagulopathy on admission. After administration of tranexamic acid and simultaneous blood-component therapy, the patient underwent decompressive craniectomy and evacuation of hematoma together with extensive temporal lobectomy. The surgical procedure went smoothly without uncontrollable bleeding, and the patient made a successful postoperative recovery without unexpected, delayed intracranial hemorrhage.