A Case of Cerebral Infarction and Chronic Subdural Hematoma in Essential Thrombocythemia

J Korean Neurol Assoc > Volume 18(2); 2000 > Article

Journal of the Korean Neurological Association 2000;18(2): 215-218.

본태성 혈소판 증다증 환자에서 만성 경막하 출혈과 동반된 뇌경색 1예

이지용, 권준범이양현덕이이성익이손일홍*이문준식이이성수

연세대학교 원주의과대학 신경과학교실,원광대학교 의과대학 신경과학교실*

A Case of Cerebral Infarction and Chronic Subdural Hematoma in Essential Thrombocythemia

Ji-Yong Lee, M.D., Joon-Bum Kwon, M.D., Hyun-Duk Yang, M.D., Seong-Ik Lee, M.D., Il-Hong Son, M.D.*, Joon-Shik Moon, M.D., Sung-Soo Lee, M.D.

Department of Neurology, Wonju College of Medicine, Yonsei University Deparment of Neurology, College of Medicine, Wonkwang University*

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 frontopari-etal area. A cerebral angiography revealed an occlusion of the M2 portion of the right middle cerebral artery. J Korean Neurol Assoc 18(2):215~218, 2000 Key Words : Thrombocythemia, Cerebral Infarction, Chronic Subdural Hematoma