INTRACEREBRAL HEMORRHAGE IN AN INFANT WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA - APPROACH TO THE SURGICAL-MANAGEMENT

We describe a 21-month-old female infant with severe idiopathic thromb ocytopenic purpura (ITP), who presented in coma with signs of cerebral herniation. CT scan revealed a right temporo-parietal intracerebral h emorrhage. The patient underwent immediate craniotomy and the hematoma was drained. Marked improvement in her neurological status, as well a s postoperative resolution of the intracranial hemorrhage, were noted, Three months after the operation she recovered from the ITP. We empha size the option of performing craniotomy without splenectomy in ITP in fant patients.