Spontaneous intracranial haemorrhage (ICH) is a rare
complication of chronic immune thrombocytopenic purpura
(ITP) in children. We report four patients with cITP who
developed ICH. The latency between onset of ITP and ICH
varied from 1-8 years. All our patients were profoundly
thrombocytopenic (platelet count of <10 x 109/l) at the time
of their intracranial bleed. The presenting features and
management are discussed. All patients survived, three had
complete neurological recovery while one had a minimal
residual neurological deficit.
KEY WORDS:
Chronic immune thrombocytopenic purpura; intracranial
haemorrhage; children
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