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Massive Pontine Hemorrhage by Dual Injection of Autologous Blood
Published on: May 29, 2021
Acute epidural hematoma in a patient with Glanzmann's thrombasthenia: case report
Hitoshi Yamahata1, Kazuho Hirahara, Tetsuzo Tomosugi
1Department of Neurosurgery, Kagoshima City Hospital, Kagoshima, Japan. yamahata-nsu@umin.net
Abstract:
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.
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