J Korean Soc Traumatol.
2013 Sep;26(3):238-242.
Burr-Hole Trephination of an Acute Subdural Hematoma with Idiopathic Thrombocytopenic Purpura: A Case Report
- Affiliations
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- 1Department of Trauma Center, Wonju Severance Christian Hospital, Yonsei University, Korea. nsojw@yonsei.ac.kr
- 2Department of Neurosurgery, Wonju Severance Christian Hospital, Yonsei University, Korea.
Abstract
- Idiopathic thrombocytopenic purpura (ITP) is the condition of having an abnormally low platelet count with an unknown cause. Acute subdural hematomas (ASDHs) usually develop in trauma patients and often involve a high bleeding tendency. However, ITP patients rarely have a large ASDH, and when a traditional decompressive craniectomy is performed on patients with coagulopathy, the mortality rate is higher because of the greater bleeding risk. We report the case of an ITP patient with a large ASDH who treated with a burr-hole trephination and irrigation and who was discharged without any neurological deficit.
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