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급성 경막하 혈종이 발생한 특발성 혈소판 감소성 자반병 환자에게 시행한 두개 천공 배액술: 증례보고
강지인 ( Jiin Kang ),배금석 ( Keum Seok Bae ),변진수 ( Jinsu Pyen ),김종연 ( Jong Yun Kim ),조성민 ( Sung Min Cho ),황금 ( Kum Whang ),김소현 ( Sohyun Kim ),오지웅 ( Ji Woong Oh ) 대한외상학회 2013 大韓外傷學會誌 Vol.26 No.3
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.