Clinical neurology and neurosurgery
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Clin Neurol Neurosurg · Feb 2009
Review Case ReportsManagement of subdural hematoma in immune thrombocytopenic purpura: report of seven patients and a literature review.
Intracranial hemorrhage is a devastating complication of immune thrombocytopenic purpura (ITP). Subdural hematoma (SDH) is rare and the optimal management unsettled. We report a series of seven patients of ITP who developed isolated SDH and subsequently review the literature. ⋯ Reports of isolated SDH in ITP are infrequent. Compared to those developing intracerebral hemorrhage, SDH occurs more in patients who are older, having chronic ITP and having a higher platelet count. Medical management with close monitoring of neurological parameters is a viable treatment option in patients of ITP developing SDH.