Management of nontraumatic intracranial haemorrhage (subdural hematoma) in immune thrombocytopenia

Abstract

Intracranial haemorrhage is a devastating complication of immune thrombocytopenic purpura [1]. The occurrence of a spontaneous subdural hematoma in immune thrombocytopenia (ITP) is rare [2], affecting 1% or less of patients [3]. In ITP contrary to traumatic SDH the brain parenchyma is well preserved [3]. We present the case of a patient with immune thrombocytopenia, subdural haemorrhage and asymptomatic parietal parasagittal meningioma. Neurological parameters were closely monitored, including the level of consciousness, pupillary size, motor or sensorial deficit. He was managed successfully medically (platelet-rich plasma and steroids) and then surgically (craniotomy, subdural hematoma aspiration)