Acute Epidural Hematoma Following Acute Subdural Hematoma Evacuation in a Child With Glanzmann Thrombasthenia

Two case reports of Glanzmann thrombocytopenia with intracranial hemorrhage and a review of the literature

“…[7] Like our first case, Fernández-Castellano et al are the only ones to report spontaneous epidural bleeding in a known case of GT, but, in this case, the patient underwent two surgeries for two different EDHs during the same admission. [8] On the other hand, Yamahata et al did not report any difficulties in dealing with EDH in a 7-year-old girl who presented after falling; the patient underwent craniotomy with hematoma evacuation. [17] Lee et al reported a progressive EDH that also resulted from a fall; however, the patient did not undergo surgery until day four after admission, after a follow-up CT brain revealed that the volume of the hematoma was increasing slightly, along with edematous change.…”

“…[ 2 , 5 , 7 ] Unlike our first case but like the second, the underlying cause of bleeding was due to traumatic injury (fall, surgical intervention, and motor vehicle accident) in five of the studies; only one involved spontaneous bleeding. [ 8 ] Bell and Savidge were the first to report a case of spinal dural hemorrhage in a patient with GT. [ 5 ] Al Barbarawi et al .…”

“…are the only ones to report spontaneous epidural bleeding in a known case of GT, but, in this case, the patient underwent two surgeries for two different EDHs during the same admission. [ 8 ] On the other hand, Yamahata et al . did not report any difficulties in dealing with EDH in a 7-year-old girl who presented after falling; the patient underwent craniotomy with hematoma evacuation.…”

“…[14] A literature search for cases of CNS bleeding in patients with GT yielded six studies, four of which included intracranial bleeding, and two were in the spinal cord. [2,5,7,8,12,17] Patients' ages ranged from 6 to 34. ree were pediatric cases, and three were adults.…”

“…[2,5,7] Unlike our first case but like the second, the underlying cause of bleeding was due to traumatic injury (fall, surgical intervention, and motor vehicle accident) in five of the studies; only one involved spontaneous bleeding. [8] Bell and Savidge were the first to report a case of spinal dural hemorrhage in a patient with GT. [5] Al Barbarawi et al reported a very complicated spinal EDH in a patient with undiagnosed GT, which was a complication of laminectomy, partial facetectomy, and discectomy with posterior interbody fusion and cage insertion.…”