Ruptured Cerebral Aneurysm Successfully Clipped in Idiopathic Thrombocytopenic Purpura After High-dose Gamma-globulin Therapy —Case Report—

Tomoaki TERADA; Seiji HAYASHI; Mitsuharu TSUURA; Toru ITAKURA; Norihiko KOMAI

doi:10.2176/nmc.31.797

Ruptured Cerebral Aneurysm Successfully Clipped in Idiopathic Thrombocytopenic Purpura After High-dose Gamma-globulin Therapy

—Case Report—

Tomoaki TERADA, Seiji HAYASHI, Mitsuharu TSUURA, Toru ITAKURA, Norihiko KOMAI

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Keywords: high-dose gamma-globulin therapy, idiopathic thrombocytopenic purpura, subarachnoid hemorrhage

JOURNAL FREE ACCESS

1991 Volume 31 Issue 12 Pages 797-799

DOI https://doi.org/10.2176/nmc.31.797

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Abstract

A ruptured cerebral aneurysm in a 50-year-old female with idiopathic thrombocytopenic purpura was successfully clipped after preoperative high-dose gamma-globulin therapy to control the hemorrhagic diathesis. High-dose gamma-globulin therapy with or without steroid and/or platelet transfusion is recommended for such cases if the blood pressure can be controlled and the neurological condition permits delayed surgery.

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