Open AccessSubdural haematoma in pregnancy-induced idiopathic thrombocytopenia: Conservative management
Author(s) -
Maitree Pandey,
Namita Saraswat,
Homay Vajifdar,
Lalita Chaudhary
Publication year - 2010
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/0019-5049.71036
Subject(s) - medicine , subdural haematoma , conservative management , surgery , dexamethasone , pregnancy , conservative treatment , tranexamic acid , subdural empyema , anesthesia , meningitis , radiology , blood loss , genetics , biology
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.