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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Does One Lose Consciousness With History Of Itp?

hello

this is tapamiti
my father is an ITP patient,we were doing normal routine check up under DR D bandopadhyay and neurologist DR Angsuman Mukherjee.
He was doing well.From yester day only he started feeling very weak,we did platelet test and the count suddenly found to be dereased from 1.54 to 77 thousand.Toady morning he suddenly lost his consiousness on his two limbs.
His condition was pretty bad,we went to sisumangal,due to no vacancy of ICCU bed we have to go to Repose nursing home where he has been admitted in ICCU.
Tomorrow they will be doing MRI and CT Scan,dont know wat to do now.
can anyone please help me.......Please
Mon, 25 May 2015
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Pathologist and Microbiologist 's  Response
Hi I did review your concern
When a person with ITP and low platelets loses consciousness the obvious worry is bleeding into brain. I would advice a emergency CT scan as blood can be seen in non contrast CT scan in early phase very easily. it is also possible that loss of consciousness can be something else and not related to ITP as 77000 platelet count is not very bad. Generally chances of intracranial bleed rise a lot after platelets drop beyond 20000.
I hope this helps
Let me know if you have any more questions or concerns.
Wish you all the best.
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Why Does One Lose Consciousness With History Of Itp?

Hi I did review your concern When a person with ITP and low platelets loses consciousness the obvious worry is bleeding into brain. I would advice a emergency CT scan as blood can be seen in non contrast CT scan in early phase very easily. it is also possible that loss of consciousness can be something else and not related to ITP as 77000 platelet count is not very bad. Generally chances of intracranial bleed rise a lot after platelets drop beyond 20000. I hope this helps Let me know if you have any more questions or concerns. Wish you all the best.