CASE REPORTThromboelastometry-guided neuraxial anesthesia in a parturient with severe thrombocytopenia due to large granular lymphocytic leukemiaGetrajdman, Chloea; Sison, Matthewa; Yen, Colleena; Giordano, Morganea; Beilin, Yaakova,b; Katz, DanielaAuthor Information aDepartment of Anesthesiology, Perioperative and Pain Medicine bDepartment of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York, USA Correspondence to Chloe Getrajdman, Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY 10026, USA E-mail: [email protected] Received 23 July, 2020 Revised 9 September, 2020 Accepted 22 September, 2020 Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's website (www.bloodcoagulation.com). Blood Coagulation & Fibrinolysis: January 2021 - Volume 32 - Issue 1 - p 64-67 doi: 10.1097/MBC.0000000000000970 Buy SDC Metrics Abstract Severe thrombocytopenia (platelet count <50 000/μl) in pregnancy is uncommon and is generally considered a contraindication to neuraxial anesthesia. We present a case of a parturient who presented with severe thrombocytopenia secondary to bone marrow failure. After receiving platelet and cryoprecipitate transfusions to correct coagulopathy as verified by thromboelastometry, neuraxial anesthesia was safely utilized. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.