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Ruptured Intracranial Aneurysm Successfully Treated by Clipping in a Patient with Idiopathic Thrombocytopenic Purpura: A Case Report / 대한뇌혈관외과학회지
Korean Journal of Cerebrovascular Surgery ; : 383-386, 2008.
Artículo en Inglés | WPRIM | ID: wpr-164024
ABSTRACT
We report here on a case of a ruptured left posterior communicating artery (P-com) aneurysm that was treated by clipping in a patient with idiopathic thrombocytopenic purpura (ITP) and steroids were used to control the platelet count during the perioperative period. A 34-year-old female who had been suffering from ITP for four years experienced the sudden onset of a headache and vomiting while showering. She was referred to our hospital as a case of subarachnoid hemorrhage (SAH) due to a ruptured P-com aneurysm. Aneurysmal neck clipping was performed via the left pterional approach 6 hours after the ictus. The aneurysmal clipping was successful without an increased bleeding tendency during the operation. Intravenous steroid injection was given after aneurysmal clipping for 7 days and then it was tapered off. It is important to maintain an adequate platelet count in SAH patients with chronic ITP in order to avoid hemorrhagic diathesis during surgery. Intravenous steroid injection is a helpful method for maintaining an adequate platelet count in these patients during surgery.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Recuento de Plaquetas / Arterias / Esteroides / Estrés Psicológico / Hemorragia Subaracnoidea / Vómitos / Aneurisma Intracraneal / Púrpura Trombocitopénica Idiopática / Periodo Perioperatorio / Cefalea Límite: Adulto / Femenino / Humanos Idioma: Inglés Revista: Korean Journal of Cerebrovascular Surgery Año: 2008 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Recuento de Plaquetas / Arterias / Esteroides / Estrés Psicológico / Hemorragia Subaracnoidea / Vómitos / Aneurisma Intracraneal / Púrpura Trombocitopénica Idiopática / Periodo Perioperatorio / Cefalea Límite: Adulto / Femenino / Humanos Idioma: Inglés Revista: Korean Journal of Cerebrovascular Surgery Año: 2008 Tipo del documento: Artículo