Acute Ischemic Stroke Showing Microembolic Signals in a Patient
With Autoimmune Hemolytic Anemia

J Korean Neurol Assoc > Volume 32(3); 2014 > Article

Journal of the Korean Neurological Association 2014;32(3): 182-185.

미세색전신호를 보인 자가면역용혈빈혈을 동반한 급성허혈뇌졸중

김형준, 신호식 이동현

순천향대학교 부천병원 신경과

Acute Ischemic Stroke Showing Microembolic Signals in a Patient With Autoimmune Hemolytic Anemia

Hyung-Jun Kim

Department of Neurology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea

Abstract

Autoimmune hemolytic anemia (AIHA) can be considered in the differential diagnosis of hemolytic anemia with a concomitant cerebral infarction. We report a 79-year-old woman who was stuporous at presentation, and ultimately diagnosed with AIHA and cerebral infarction. Microembolic signals (MES) were detected by transcranial Doppler monitoring on the first hospitalization day. MES disappeared on the sixth hospitalization day following treatment with steroid and anticoagulation. This case represents a rare arterial ischemic complication of AIHA possibly associated with a hypercoagulable state. Key Words: Autoimmune hemolytic anemia, Hypercoagulability, Cerebral infarction