Roizin H, Ballin A, Hadani M, Barzilay Z
Pediatric Intensive Care Unit, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Isr J Med Sci. 1993 Nov;29(11):713-5.
We describe a 21-month-old female infant with severe idiopathic thrombocytopenic purpura (ITP), who presented in coma with signs of cerebral herniation. CT scan revealed a right temporo-parietal intracerebral hemorrhage. The patient underwent immediate craniotomy and the hematoma was drained. Marked improvement in her neurological status, as well as postoperative resolution of the intracranial hemorrhage, were noted. Three months after the operation she recovered from the ITP. We emphasize the option of performing craniotomy without splenectomy in ITP infant patients.
我们描述了一名21个月大的患有严重特发性血小板减少性紫癜（ITP）的女婴，她出现昏迷并伴有脑疝迹象。CT扫描显示右侧颞顶叶脑出血。患者立即接受了开颅手术，血肿被引流。其神经状态有显著改善，颅内出血在术后也得到缓解。术后三个月，她从ITP中康复。我们强调在ITP婴儿患者中可选择不进行脾切除术而直接进行开颅手术。
