Progressive Middle Cerebral Artery Infarction in a Patient with Thrombotic Thrombocytopenic Purpura
Journal of the Korean Geriatrics Society
;
: 331-334, 2006.
Article
in Korean
| WPRIM
| ID: wpr-220443
ABSTRACT
Thrombotic thrombocytopenic purpura (TTP) is frequently associated with small cortical and subcortical infarcts. However, major intracranial artery occlusion is rare. We report a case of progressive middle cerebral artery (MCA) infarction in a patient with TTP. A 76-year-old woman with hypertension was admitted due to right hemiparesis and transcortical motor aphasia. On laboratory findings, she had microangiopathic hemolytic anemia and thrombocytopenia. Brain MRI showed left subcortical multiple infarction, and MR angiogram revealed severe stenosis of left MCA main stem. She was treated with heparin and steroid but a few days later, there was neurologic deterioration attributed to progressive occlusive stroke in the left MCA territory. Follow-up brain CT demonstrated left malignant MCA infarction. TTP may be associated with progressive occlusion of large cerebral artery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aphasia, Broca
/
Paresis
/
Arteries
/
Purpura, Thrombotic Thrombocytopenic
/
Thrombocytopenia
/
Brain
/
Magnetic Resonance Imaging
/
Heparin
/
Cerebral Arteries
/
Follow-Up Studies
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Geriatrics Society
Year:
2006
Type:
Article
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