Chronic subdural hematoma associated with idiopathic thrombocytopenic purpura in an elderly female A rare case report

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Sachin Chhabra
Ashok Gupta

Abstract

Intracranial hemorrhage is the most fatal complication of idiopathic thrombocytopenic purpura(ITP) and is very rare(<1%) mostly in young females and intraparenchymal or subarachnoid in most of the cases. We report a case of 63 years of female presented with acute SDH with petechiae in both lower limbs and headache. After ruling out all causes patient was diagnosed as having idiopathic thrombocytopenic purpura(ITP).Considering her haematological and neurological profile patient was kept conservatively. Platelets and steroids were given to the patient following which platelet counts improved but patient deteriorated clinically. Hence patient was operated and surgical evacuation of SDH was done through burr hole. Although some studies have shown disappearance of chronic SDH with medical management, but it failed in our case and so surgical evacuation was done.

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How to Cite
Chhabra, S., & Gupta, A. (2016). Chronic subdural hematoma associated with idiopathic thrombocytopenic purpura in an elderly female: A rare case report. Romanian Neurosurgery, 30(3), 405–409. Retrieved from https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/934
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Author Biographies

Sachin Chhabra

Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, INDIA

Ashok Gupta

Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, INDIA