Spontaneous subdural hemorrhage in immune-thrombocytopenic purpura with Concomitant liver cirrhosis: a case report

Hayati Firdaus and Ho Hui Lian and Hud Zin and Azizan Nornazirah and Zainal Adwin Zainal Abidin and Sanmugarajah Paramasvaran (2016) Spontaneous subdural hemorrhage in immune-thrombocytopenic purpura with Concomitant liver cirrhosis: a case report. Surgical Chronicles, 21 (3). pp. 1-4.

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Abstract

Spontaneous subdural hemorrhage (SDH) is an uncommon condition in immune thrombocytopenic purpura with concomitant cirrhotic liver disease. A 61-year- old lady presented with worsening headache and acute dizziness with no evidence of trauma. Her clinical examination was uneventful except for minimal purpuric spots at previous phlebotomy sites. Full blood count revealed platelet of 65,000/mm 3 . Computed tomography (CT) of brain revealed crescent-shaped hypodense lesion at left parietal region and at right frontoparietal region, suggestive of chronic SDH. She underwent emergency burr hole to evacuate the clot on the left subdural space. Repeat CT scan after a week revealed a worsening acute-on- chronic SDH on the right parietal region with a residual chronic SDH on the left side. Thus, another burr hole and evacuation of the clots was performed and she had an unremarkable postoperative recovery. She was discharged with tablet prednisolone 0.5 mg/kg (45 mg once a day) was tapered down 5 mg every 2 weeks until she consumed 5 mg per day. Repeat CT scan after a week showed remission of SDH.

Item Type:	Article
Keyword:	Immune-thrombocytopenic , neurological deficits , liver cirrhosis
Subjects:	R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC581-951 Specialties of internal medicine > RC648-665 Diseases of the endocrine glands. Clinical endocrinology R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC581-951 Specialties of internal medicine > RC799-869 Diseases of the digestive system. Gastroenterology
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	ABDULLAH BIN SABUDIN -
Date Deposited:	17 Jan 2025 14:18
Last Modified:	17 Jan 2025 14:18
URI:	https://eprints.ums.edu.my/id/eprint/42597

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