Glanzmann Thrombasthenia in a Korean Patient: A Postoperative Intracranial Hemorrhagic Diasthesis in a Patient with a Rupture of a Cerebral Aneurysm
Journal of Neurocritical Care
; (2): 126-128, 2017.
Article
in En
| WPRIM
| ID: wpr-765881
Responsible library:
WPRO
ABSTRACT
BACKGROUND: Glanzmann thrombasthenia (GT) is a rare disease with severe insufficiency of platelet function. There are no reports of GT associated with a cerebral hemorrhage. CASE REPORT: A 45-year-old woman had a stuporous mentality. Her computed tomographic (CT) angiography revealed a rupture of the posterior cerebral artery aneurysm. Hunt-Hess grade was 4 points and Fisher grade was 3 points. A clipping of the aneurysm was performed and proceeded to external ventricular drainage for hydrocephalus after 6 days. But, a new hemorrhage was detected several times via a follow-up brain CT. Various blood tests were conducted to evaluate the bleeding tendency, and the GT was diagnosed with PFA-200. The ventriculoperitoneal shunt was performed after the platelets transfusion, and she was discharged without other complications. CONCLUSION: With nonspecific and recurrent intracranial hemorrhage, a GT should be included in the differential diagnosis, which is important in controlling bleeding during the surgery.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Rupture
/
Blood Platelets
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Thrombasthenia
/
Brain
/
Angiography
/
Intracranial Aneurysm
/
Cerebral Hemorrhage
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Drainage
/
Follow-Up Studies
/
Ventriculoperitoneal Shunt
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
Language:
En
Journal:
Journal of Neurocritical Care
Year:
2017
Type:
Article