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Jiin Kang 1 Article
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
J Trauma Inj. 2013;26(3):238-242.
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AbstractAbstract PDF
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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J Trauma Inj : Journal of Trauma and Injury