Intracerebral hemorrhage in an infant with idiopathic thrombocytopenic purpura: Approach to the surgical management

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Abstract

We describe a 21-month-old female infant with severe idiopathic thrombocytopenic purpura (ITP), who presented in coma with signs of cerebral herniation. CT scan revealed a right temporo-parietal intracerebral hemorrhage. The patient underwent immediate craniotomy and the hematoma was drained. Marked improvement in her neurological status, as well as postoperative resolution of the intracranial hemorrhage, were noted. Three months after the operation she recovered from the ITP. We emphasize the option of performing craniotomy without splenectomy in ITP infant patients.

Original languageEnglish
Pages (from-to)713-715
Number of pages3
JournalIsrael Journal of Medical Sciences
Volume29
Issue number11
StatePublished - 1993
Externally publishedYes

Keywords

  • Idiopathic thrombocytopenic purpura
  • Intracranial hemorrhage
  • Splenectomy

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