A Case of Thrombotic Thrombocytopenic Purpura(TTP), Presenting Multiple Gross Infarction

J Korean Neurol Assoc > Volume 14(2); 1996 > Article

Journal of the Korean Neurological Association 1996;14(2): 645-649.

다발성 큰 뇌경색을 동반한 혈전성 혈소판감소성 자반증 1예

이강건, 함동석, 윤영철, 권오상

중앙대학교 의과대학 신경과학교실

A Case of Thrombotic Thrombocytopenic Purpura(TTP), Presenting Multiple Gross Infarction

Kang Kon Lee, M,D., Dong Suk Ham, M,D., Young Chul Youn, M.D., Oh Sang Kwon, M.D.

Department of Neurology, College of Medicine, Chung-Ang University

Abstract

Thrombotic thrombocytopenic purpura (TTP) is an uncommon disorder, frequently fatal, characterized by a pentad of thrombocytopenia, microangiopathic hemolytic anemia, fluctuating neurologic symptoms, fever, and renal disease. TTP is characterized by widespread noninflammatory thrombotic occlusions of arterioles and capillaries with material containing fibrin and platelets. Generally, gross infarct is rare in the patient with TTP. We present a case of TTP with multiple gross infarcts on brain CT scan. A 53-year-old-man was presented with left hemiparesis and confused mentality. On laboratory study, he had microangiopathic hemolytic anemia & thrombocytopenia. Brain CT showed multiple gross infarct areas in the right basal ganglia, right parietal lobe and right cerebellar hemisphere. When managing the patient with acute stroke syndrome, we should consider TTP as a diagnostic possibility for early proper treatment, even if CT scan of brain show multiple gross infarctions.