Subdural hematoma associated with immune thrombocytopenic purpura in two different clinical settings.

Subdural hematoma (SDH) is a rare complication of immune thrombocytopenic purpura (ITP) the incidence being around 2%. Although SDH usually occurs secondary to trauma, in bleeding disorders it may occur spontaneously. Here we report subdural hematoma in two uncommon settings, one patient with systemic sclerosis developing secondary ITP and consequently subdural hematoma and the other patient with chronic ITP developing subdural hematoma in the inter hemispheric region. In both the settings the patients recovered spontaneously without any surgical intervention.