Delayed hematoma growth in a patient with thrombocytopenia

IF 1.3 Q4 CLINICAL NEUROLOGY
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引用次数: 0

Abstract

Background

Hematoma growth rarely occurs after 24 h in patients with intracerebral hemorrhage (ICH). Here we report a case with delayed hematoma growth caused by thrombocytopenia.

Case presentation

A 68-year-old leukemia patient presented with sudden left-sided weakness. Initial computed tomography scans revealed a small basal ganglia hemorrhage without early expansion. However, three days later, there was a significant hematoma expansion coupled with thrombocytopenia. The patient's condition remained stable after treatment. Our case suggests that hematoma expansion may occur even 3 days after symptom onset in patients with ICH.

Conclusion

This underscores the significance of promptly recognizing and closely monitoring delayed hematoma growth in cases of ICH associated with leukemia to facilitate timely intervention.

血小板减少症患者血肿延迟生长
背景脑出血(ICH)患者血肿生长很少在 24 小时后发生。我们在此报告了一例因血小板减少而导致血肿延迟生长的病例。病例介绍 一位 68 岁的白血病患者突然出现左侧肢体无力。最初的计算机断层扫描显示基底节小出血,但没有早期扩大。然而,三天后,血肿明显扩大并伴有血小板减少。治疗后,患者病情保持稳定。我们的病例表明,ICH 患者即使在症状出现 3 天后也可能出现血肿扩大。结论这强调了在白血病相关 ICH 病例中及时识别和密切监测延迟血肿生长以促进及时干预的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Brain Hemorrhages
Brain Hemorrhages Medicine-Surgery
CiteScore
2.90
自引率
0.00%
发文量
52
审稿时长
22 days
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