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- Burr-Hole Trephination of an Acute Subdural Hematoma with Idiopathic Thrombocytopenic Purpura: A Case Report
- Jiin Kang, Keumseok Bae, Jinsu Pyen, Jongyun Kim, Sungmin Cho, Kum Whang, Sohyun Kim, Jiwoong Oh
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Journal of Trauma and Injury 2013;26(3):238-242
DOI: https://doi.org/
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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.
2Department of Neurosurgery, Wonju Severance Christian Hospital, Yonsei University, Korea.
Received: 21 July 2013 • Revised: 24 August 2013 • Accepted: 2 September 2013
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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