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Journal of Trauma and Injury 2013;26(3):238-242.
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
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.
급성 경막하 혈종이 발생한 특발성 혈소판 감소성 자반병 환자에게 시행한 두개 천공 배액술: 증례보고
강지인1, 배금석, 변진수1, 김종연1, 조성민1, 황 금1, 김소현1, 오지웅
연세대학교 원주세브란스 기독병원 외상센터, 1신경외과학교실
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.
Key Words: Acute subdural hematoma; Idiopathic thrombocytopenic purpura; Burr-hole trephination
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