Acute Epidural Hematoma in a Patient With Glanzmann's Thrombasthenia -Case Report-

被引：3
|
作者：
Yamahata, Hitoshi [1 ]
Hirahara, Kazuho
Tomosugi, Tetsuzo
Yamada, Masahiko
Ishii, Takeshi
Uetsuhara, Koichi
Kawakami, Kiyoshi [2 ]
Arita, Kazunori [3 ]
机构：
[1] Kagoshima City Hosp, Div Neurosurg, Dept Neurosurg, Kagoshima 8928580, Japan
[2] Kagoshima City Hosp, Dept Pediat, Kagoshima 8928580, Japan
[3] Kagoshima Univ, Fac Med, Dept Neurosurg, Kagoshima 890, Japan
来源：
NEUROLOGIA MEDICO-CHIRURGICA | 2010年 / 50卷 / 10期
关键词：
Glanzmann's thrombasthenia; acute epidural hematoma; head injury; management; platelet transfusion; RECOMBINANT FACTOR VIIA; SURGERY;
D O I：
10.2176/nmc.50.928
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A 7-year-old girl with Glanzmann's thrombasthenia (GT) fell and hit her head against a table. Within 2 hours she began to vomit and became drowsy. On admission to our hospital her Glasgow Coma Scale score was 13. Computed tomography (CT) on admission showed acute epidural hematoma in the left posterior fossa. We administered platelets, performed emergent lateral suboccipital craniotomy, and totally removed the epidural hematoma. Postoperative CT showed no evidence of hematoma or re-bleeding. She was discharged without neurological deficits 14 days after the operation. GT is a platelet aggregation disorder due to a functional loss of platelet membrane glycoprotein IIb/IIIa. The present patient with GT underwent successful emergency craniotomy after platelet transfusion.
引用
收藏
页码：928 / 930
页数：3
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