PRENATAL-DIAGNOSIS OF INTRACRANIAL HEMORRHAGE SECONDARY TO MATERNAL IDIOPATHIC THROMBOCYTOPENIC PURPURA - A CASE-REPORT

被引：12

作者：

TAMPAKOUDIS, P

BILI, H

LAZARIDIS, E

ANASTASIADOU, E

ANDREOU, A

MANTALENAKIS, S

机构：

[1] First Department of Obstetrics and Gynecology, Neonatal Department, National Health System, Hippokration General Hospital, Thessaloniki

来源：

AMERICAN JOURNAL OF PERINATOLOGY | 1995年 / 12卷 / 04期

关键词：

INTRACRANIAL HEMORRHAGE; IDIOPATHIC THROMBOCYTOPENIC PURPURA; PRENATAL DIAGNOSIS;

D O I：

10.1055/s-2007-994471

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

We describe a case of a fetus who developed intracranial hemorrhage at the beginning of the third trimester of the pregnancy, possibly secondary to maternal idiopathic thrombocytopenic purpura (ITP). To our knowledge, this is the first reported case of prenatal diagnosis of fetal intracranial hemorrhage occurring in association with maternal ITP. The intracranial hemorrhage was intra- and periventricular, with the development of posthemorrhagic hydrocephalus. Cesarean section was performed at 37 weeks of gestation. The mother did well but the newborn died 2 months later. The problem of ITP of the mother in relation to pregnancy and the effects on the fetus and the infant are discussed.

引用

页码：268 / 270

页数：3

共 15 条

[1]

Beardsley D.S., Immune thrombocytopenia in the perinatal period, Semin Perinatol, 14, pp. 368-373, (1990)

[2]

Martin J.N., Morrison J.C., Files J.C., Autoimmune thrombocytopenic purpura: current concepts and recommended practices, Am J Obstet Gynecol, 150, pp. 86-95, (1984)

[3]

Bussel J.B., Management of infants of mothers with immune thrombocytopenic purpura, J Pediatr, 113, pp. 497-499, (1988)

[4]

Jones R.W., Asher M.I., Rutherford C.J., Munro H.M., Autoimmune (idiopathic) thrombocytopenic purpura in pregnancy and the newborn, Br J Obstet Gynecol, 84, pp. 679-683, (1977)

[5]

Kelton J.G., Management of the pregnant patient with idiopathic thrombocytopenic purpura, Ann Intern Med, 99, pp. 796-800, (1983)

[6]

Cines D.B., Dusak B., Tomaski A Immune thrombocytopenic purpura and pregnancy, N Engl J Med, 306, pp. 826-831, (1982)

[7]

Kelton J.G., Inwood M.J., Barr R.M., Et al., The prenatal prediction of thrombocytopenia in infants of mothers with clinically diagnosed immune thrombocytopenia, Am J Obstet Gynecol, 144, pp. 449-454, (1982)

[8]

O'Reilly R.A., Taber B.Z., Immunologic thrombocytopenic purpura and pregnancy. Six new cases, Obstet Gynecol, 51, pp. 590-597, (1978)

[9]

Laros R.K., Sueet R.L., Management of idiopathic thrombocytopenic purpura during pregnancy, Am J Obstet Gynecol, 122, pp. 182-191, (1975)

[10]

Murray J.M., Harris R.E., The management of the pregnant patient with idiopathic thrombocytopenic purpura, Am J Obstet Gynecol, 130, pp. 235-236, (1976)

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