A Case of Cerebral Infarction and Chronic Subdural Hematoma in Essential Thrombocythemia.
- Author:
Ji Yong LEE
1
;
Joon Bum KWON
;
Hyun Duk YANG
;
Seong Ik LEE
;
Il Hong SON
;
Joon Shik MOON
;
Sung Soo LEE
Author Information
1. Department of Neurology, Wonju College of Medicine, Yonsei University.
- Publication Type:Case Report
- Keywords:
Thrombocythemia;
Cerebral Infarction;
Chronic Subdural Hematoma
- MeSH:
Brain;
Cerebral Angiography;
Cerebral Hemorrhage;
Cerebral Infarction*;
Female;
Hematoma, Subdural, Chronic*;
Hemorrhage;
Humans;
Infarction;
Korea;
Leukemia, Myelogenous, Chronic, BCR-ABL Positive;
Magnetic Resonance Imaging;
Megakaryocytes;
Middle Aged;
Middle Cerebral Artery;
Myeloproliferative Disorders;
Paresis;
Primary Myelofibrosis;
Stroke;
Temporal Lobe;
Thrombocythemia, Essential*;
Thrombocytosis
- From:Journal of the Korean Neurological Association
2000;18(2):215-218
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Essential thrombocythemia is one type of the related chronic myeloproliferative disorders that also include poly-cythemia vera, chronic myelogenous leukemia, and idiopathic myelofibrosis. It is a rare disorder of unknown origin characterized by thrombocytosis, excessive megakaryocytes, hemorrhage, and thrombotic complication. Several cases of ischemic stroke in essential thrombocythemia have been reported, but cerebral infarction combined with cerebral hemorrhage has been very rare and has not been reported in Korea. We report a case of cerebral infarction and chronic subdural hematoma in a pateint with essential thrombocythemia. A 59-year-old woman with essential thrombocythemia was admitted with mild left hemiparesis that developed 3 days prior. She had a history of minor trauma 15 days prior. A brain MRI showed an infarction in the right temporal lobe and a chronic subdural hematoma in the right frontoparietal area. A cerebral angiography revealed an occlusion of the M2 portion of the right middle cerebral artery.
