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KMID : 0360720130260030238
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Journal of the Korean Society Traumatology
2013 Volume.26 No. 3 p.238 ~ p.242
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Burr-Hole Trephination of an Acute Subdural Hematoma with Idiopathic Thrombocytopenic Purpura: A Case Report
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Kang Ji-In
Bae Keum-Seok
Pyen Jin-Su
Kim Jong-Yun
Cho Sung-Min
Whang Kum
Kim So-Hyun
Oh Ji-Woong
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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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KEYWORD
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Acute subdural hematoma, Idiopathic thrombocytopenic purpura, Burr-hole trephination
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