RESUMO
The association between vascular tumors and thrombocytopenia is rare. Kasabach-Merritt Syndrome is seen in childhood and is characterized by hemangiomas and thrombocytopenia. A 42 years-old man with a cerebellar hemangioblastoma and thrombocytopenia, admitted with a subarachnoid hemorrhage is reported. The patient was operated and required a splenectomy to manage the thrombocytopenia. After the splenectomy the patient developed a subdural hematoma that was operated. Despite the surgical treatment, the patient died.
Assuntos
Humanos , Masculino , Adulto , Trombocitopenia/complicações , Neoplasias Cerebelares/complicações , Hemangioblastoma/complicações , Trombocitopenia/patologia , Trombocitopenia/terapia , Imageamento por Ressonância Magnética , Tomografia Computadorizada por Raios X , Neoplasias Cerebelares/patologia , Neoplasias Cerebelares/terapia , Hemangioblastoma/patologia , Hemangioblastoma/terapia , Evolução Fatal , Diagnóstico Diferencial , Síndrome de Kasabach-Merritt/patologia , Hematoma Subdural/complicações , Hematoma Subdural/patologiaRESUMO
The authors present two elderly patients with chronic subdural haematomas following minor trauma. The difficulty associated with making the diagnosis is discussed. A high index of suspicion and routine follow-up of such patients is recommended in order to promote early diagnosis and prompt treatment of this reversible cause of dementia.
Los autores presentan dos casos de pacientes ancianos con hematomas subdurales crónicos luego de sufrir traumas menores. Se discuten las dificultades asociadas con la realización del diagnóstico. Se recomienda un alto índice de sospecha y seguimiento de rutina en tales pacientes, a fin de promover el diagnóstico temprano para un pronto tratamiento de esta causa reversible de demencia.