A Case of Spontaneous Intracranial Hematoma with Critically Low Platelet Count: A Neurointensivist's Nightmare
Complications of immune thrombocytopenia (ITP) are more frequent at a platelet count lower than 10,000/μL of blood. Intracranial hematoma (ICH) is one of the most severe complications of ITP. Subdural hematoma (SDH) and subarachnoid hemorrhage (SAH) usually occur as extensions of ICH and is generall...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2024-06-01
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| Series: | Journal of Neuroanaesthesiology and Critical Care |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1786178 |
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| author | Sukhen Samanta Malligere Prasanna |
| author_facet | Sukhen Samanta Malligere Prasanna |
| author_sort | Sukhen Samanta |
| collection | DOAJ |
| description | Complications of immune thrombocytopenia (ITP) are more frequent at a platelet count lower than 10,000/μL of blood. Intracranial hematoma (ICH) is one of the most severe complications of ITP. Subdural hematoma (SDH) and subarachnoid hemorrhage (SAH) usually occur as extensions of ICH and is generally spontaneous in nature. We report a case of ICH along with SDH and SAH who presented with critically low platelet count managed using apheresis platelet transfusion, desmopressin, intravenous immunoglobulin, and methylprednisolone. The patient was discharged successfully from hospital without any neurological deficit. The importance of early referral and immediate aggressive management and monitoring at an advanced center is suggested. |
| format | Article |
| id | doaj-art-aedc7f07b5724bff8c4dbf0e4ccea550 |
| institution | Kabale University |
| issn | 2348-0548 2348-926X |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Neuroanaesthesiology and Critical Care |
| spelling | doaj-art-aedc7f07b5724bff8c4dbf0e4ccea5502024-11-08T23:46:11ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2024-06-01110213313510.1055/s-0044-1786178A Case of Spontaneous Intracranial Hematoma with Critically Low Platelet Count: A Neurointensivist's NightmareSukhen Samanta0Malligere Prasanna1Critical Care Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab EmiratesCritical Care Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab EmiratesComplications of immune thrombocytopenia (ITP) are more frequent at a platelet count lower than 10,000/μL of blood. Intracranial hematoma (ICH) is one of the most severe complications of ITP. Subdural hematoma (SDH) and subarachnoid hemorrhage (SAH) usually occur as extensions of ICH and is generally spontaneous in nature. We report a case of ICH along with SDH and SAH who presented with critically low platelet count managed using apheresis platelet transfusion, desmopressin, intravenous immunoglobulin, and methylprednisolone. The patient was discharged successfully from hospital without any neurological deficit. The importance of early referral and immediate aggressive management and monitoring at an advanced center is suggested.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1786178immune thrombocytopeniaintracranial hematomacritically low platelet counts |
| spellingShingle | Sukhen Samanta Malligere Prasanna A Case of Spontaneous Intracranial Hematoma with Critically Low Platelet Count: A Neurointensivist's Nightmare Journal of Neuroanaesthesiology and Critical Care immune thrombocytopenia intracranial hematoma critically low platelet counts |
| title | A Case of Spontaneous Intracranial Hematoma with Critically Low Platelet Count: A Neurointensivist's Nightmare |
| title_full | A Case of Spontaneous Intracranial Hematoma with Critically Low Platelet Count: A Neurointensivist's Nightmare |
| title_fullStr | A Case of Spontaneous Intracranial Hematoma with Critically Low Platelet Count: A Neurointensivist's Nightmare |
| title_full_unstemmed | A Case of Spontaneous Intracranial Hematoma with Critically Low Platelet Count: A Neurointensivist's Nightmare |
| title_short | A Case of Spontaneous Intracranial Hematoma with Critically Low Platelet Count: A Neurointensivist's Nightmare |
| title_sort | case of spontaneous intracranial hematoma with critically low platelet count a neurointensivist s nightmare |
| topic | immune thrombocytopenia intracranial hematoma critically low platelet counts |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1786178 |
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