Progressive Middle Cerebral Artery Infarction in a Patient with Thrombotic Thrombocytopenic Purpura
Journal of the Korean Geriatrics Society
;
: 331-334, 2006.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Afasia de Broca
/
Paresia
/
Artérias
/
Púrpura Trombocitopênica Trombótica
/
Trombocitopenia
/
Encéfalo
/
Imageamento por Ressonância Magnética
/
Heparina
/
Artérias Cerebrais
/
Seguimentos
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Geriatrics Society
Ano de publicação:
2006
Tipo de documento:
Artigo
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