Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Burr-Hole Trephination of an Acute Subdural Hematoma with Idiopathic Thrombocytopenic Purpura: A Case Report

급성 경막하 혈종이 발생한 특발성 혈소판 감소성 자반병 환자에게 시행한 두개 천공 배액술: 증례보고

  • Kang, Jiin (Department of Neurosurgery, Wonju Severance Christian Hospital, Yonsei University) ;
  • Bae, Keumseok (Department of Trauma Center, Wonju Severance Christian Hospital, Yonsei University) ;
  • Pyen, Jinsu (Department of Neurosurgery, Wonju Severance Christian Hospital, Yonsei University) ;
  • Kim, Jongyun (Department of Neurosurgery, Wonju Severance Christian Hospital, Yonsei University) ;
  • Cho, Sungmin (Department of Neurosurgery, Wonju Severance Christian Hospital, Yonsei University) ;
  • Whang, Kum (Department of Neurosurgery, Wonju Severance Christian Hospital, Yonsei University) ;
  • Kim, Sohyun (Department of Neurosurgery, Wonju Severance Christian Hospital, Yonsei University) ;
  • Oh, Jiwoong (Department of Trauma Center, Wonju Severance Christian Hospital, Yonsei University)
  • 강지인 (연세대학교 원주세브란스 기독병원 신경외과학교실) ;
  • 배금석 (연세대학교 원주세브란스 기독병원 외상센터) ;
  • 변진수 (연세대학교 원주세브란스 기독병원 신경외과학교실) ;
  • 김종연 (연세대학교 원주세브란스 기독병원 신경외과학교실) ;
  • 조성민 (연세대학교 원주세브란스 기독병원 신경외과학교실) ;
  • 황금 (연세대학교 원주세브란스 기독병원 신경외과학교실) ;
  • 김소현 (연세대학교 원주세브란스 기독병원 신경외과학교실) ;
  • 오지웅 (연세대학교 원주세브란스 기독병원 외상센터)
  • Received : 2013.07.21
  • Accepted : 2013.09.02
  • Published : 2013.09.30
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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.

Keywords

References

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