Chronic subdural hematoma in patients with idiopathic thrombocytopenic purpura: A case report and review of the literature.
BACKGROUND
cSDH is a rare form of bleeding in patients with ITP. Intracerebral hematoma or subarachnoid hemorrhage is more frequently reported in these patients. Spontaneous resolution of cSDH in patients with idiopathic subdural hematoma is uncommon.


METHODS
We report a case of spontaneous cSDH in a patient with ITP, and we review the related cases in the literature. In our patient, the hematoma resolved spontaneously despite very low platelet levels. There also was an incidental left parietal convexity meningioma. A review of the literature is presented, and the management of the patients is discussed.


CONCLUSIONS
In patients with ITP, cSDHs may resolve spontaneously or with medical treatment, and surgery might be deferred except in emergency conditions or in patients with normal neurological findings. Close neurological and radiological observation along with the medical treatment may be appropriate in the management of patients with normal neurological findings.
Seçkin
Hakan
H
SSK Ankara Dişkapi Education and Research Hospital, Second Neurosurgical Clinic, Ankara, Turkey 06110.
Kazanci
Atilla
A
Yigitkanli
Kazim
K
Simsek
Serkan
S
Kars
H Zafer
HZ
D000293:Adolescent; D000328:Adult; D000368:Aged; D001921:Brain / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology; D002550:Cerebral Veins / Q000473:pathology* / Q000503:physiopathology*; D002648:Child; D018450:Disease Progression; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006261:Headache / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D020200:Hematoma, Subdural, Chronic / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000150:complications / Q000175:diagnosis*; D008579:Meningioma / Q000150:complications / Q000175:diagnosis*; D008875:Middle Aged; D010976:Platelet Count; D011241:Prednisone / Q000627:therapeutic use; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications* / Q000503:physiopathology; D012075:Remission, Spontaneous
D005938:Glucocorticoids; D011241:Prednisone