Subdural haematoma in pregnancy-induced idiopathic thrombocytopenia: Conservative management.

Subdural haematoma in pregnancy-induced idiopathic thrombocytopenia: Conservative management.

Indian J Anaesth. 2010 Sep;54(5):470-1

Authors: Pandey M, Saraswat N, Vajifdar H, Chaudhary L

Conservative management of subdural haematoma with antioedema measures in second gravida with idiopathic thrombocytopenic purpura (ITP) resulted in resolution of haematoma. We present a case of second gravida with ITP who developed subdural haematoma following normal vaginal delivery. She was put on mechanical ventilation and managed conservatively with platelet transfusion, Mannitol 1g/kg, Dexamethasone 1mg/kg and Glycerol 10ml TDS. She regained consciousness and was extubated after 48 hrs. Repeat CT after 10 days showed no mass effect with resolving haematoma which resolved completely after 15 days. Trial of conservative management is safe in pregnant patient with ITP who develops subdural haematoma.

PMID: 21189889 [PubMed - in process]