Article Text

Reminder of important clinical lesson
Idiopathic thrombocytopenic purpura associated with an astrocytoma
  1. Clare Samuelson1,
  2. Kate M Forman2,
  3. Stuart Smith3
  1. 1Queens Medical Centre, Paediatric Intensive Care, Derby Road, Nottingham NG7 2UH, UK
  2. 2Queens Medical Centre, Haematology, Derby Road, Nottingham NG7 2UH, UK
  3. 3Queens Medical Centre, Neurosurgery, Derby Road, Nottingham NG7 2UH, UK
  1. Correspondence to Clare Samuelson, clare_samuelson{at}


We present the case of an 8-year-old girl with chronic idiopathic thrombocytopenic purpura (ITP) and a short history suggestive of raised intracranial pressure. Urgent computed tomography scan of the head showed a large bleed into a left cerebellar lesion. She underwent treatment with intravenous immunoglobulin (IVIg) and steroids to increase her platelet count, followed by excision of the lesion, which was found to be a benign pilocytic astrocytoma. The patient made a complete recovery and shortly afterwards underwent splenectomy, following which there was complete resolution of her thrombocytopenia.

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  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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