Sreedharan P S, Rakesh S, Sajeev S, Pavithran K, Thomas M
Department of Internal Medicine, Medical College Hospital, Trivandrum-695 011, India.
J Assoc Physicians India. 2000 Apr;48(4):432-4.
Spontaneous intracranial haemorrhage presenting as subdural haematoma is an extremely rare presentation in adults due to idiopathic thrombocytopenic purpura. There are only five such case reports available in the literature and four had surgical evacuation of haematoma, while only one had spontaneous resolution. We report the case of a middle aged female who presented with bilateral papilloedema and later diagnosed to have subdural haematoma as a complication of idiopathic thrombocytopenic purpura, which had a spontaneous resolution.
自发性颅内出血表现为硬膜下血肿在成人中因特发性血小板减少性紫癜而极为罕见。文献中仅有五例此类病例报告,其中四例进行了血肿手术清除,而只有一例自发消退。我们报告一例中年女性病例,该患者出现双侧视乳头水肿,后来被诊断为硬膜下血肿,是特发性血小板减少性紫癜的并发症,该血肿自发消退。