title: Ruptured cerebral aneurysm successfully clipped in idiopathic thrombocytopenic purpura after high-dose gamma-globulin therapy--case report.
abstract: A ruptured cerebral aneurysm in a 50-year-old female with idiopathic thrombocytopenic purpura was successfully clipped after preoperative high-dose gamma-globulin therapy to control the hemorrhagic diathesis. High-dose gamma-globulin therapy with or without steroid and/or platelet transfusion is recommended for such cases if the blood pressure can be controlled and the neurological condition permits delayed surgery.
authors.affiliation: Department of Neurological Surgery, Wakayama Medical College.
authors.forename: T
authors.initials: T
authors.lastname: Terada
authors.forename: S
authors.initials: S
authors.lastname: Hayashi
authors.forename: M
authors.initials: M
authors.lastname: Tsuura
authors.forename: T
authors.initials: T
authors.lastname: Itakura
authors.forename: N
authors.initials: N
authors.lastname: Komai
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use*; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications* / Q000628:therapy; D012422:Rupture, Spontaneous; D013156:Splenectomy; D013345:Subarachnoid Hemorrhage / Q000209:etiology* / Q000628:therapy
chemical_list: D016756:Immunoglobulins, Intravenous; D011239:Prednisolone