Intracranial Hemorrhage as a Source of Headache in a Patient with Postpartum TTP

authors:

avatar Jamshid Vafaeimanesh 1 , avatar Ali Mehrafshan 2 , avatar Azam Nazeri 3 , avatar Fatemeh Hosseinzadeh 3 , *

Department of Neurosurgery Qom University of Medical Sciences, Qom, Iran
Nurse, Shahid Behesh ti Hospital , Qom, Iran
Department of Interal Medicine, Clinical Research Developm ent Center, Qom University of Medical Sciences, Qom, Iran

how to cite: Vafaeimanesh J, Mehrafshan A, Nazeri A, Hosseinzadeh F . Intracranial Hemorrhage as a Source of Headache in a Patient with Postpartum TTP. Zahedan J Res Med Sci. 2014;16(6): -.

Abstract

Background: Postpartum thrombotic thrombocytopenic purpura (TTP) should be considered in thrombocytopenic patients.
Case report:The patient was a 28-year-old pregnant woman referred for cesarean section. After CS, hysterectomy was done due to uncontrolled vaginal bleeding. Peripheral blood smear confirmed the TTP diagnosis. Plasmapheresis was initiated and platelets were infused. Six hours after infusion, tonic-colonic seizure, left hemiplegia and bell's palsy appeared. Brain CT Scan revealed intracranial hemorrhage. 28 plasmapheresis sessions were performed and finally, she was discharged with good general condition.

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