- Burr-Hole Trephination of an Acute Subdural Hematoma with Idiopathic Thrombocytopenic Purpura: A Case Report
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Jiin Kang, Keumseok Bae, Jinsu Pyen, Jongyun Kim, Sungmin Cho, Kum Whang, Sohyun Kim, Jiwoong Oh
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J Trauma Inj. 2013;26(3):238-242.
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 Abstract
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- 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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Summary
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