Thrombotic thrombocytopenic purpura presenting as stroke mimics with normal diffusion-weighted MRI
Ziyi Zhang, Miao He · 2023
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Description
Ziyi Zhang and Miao He present a blood disorder hiding behind stroke symptoms, in a 2023 case report. A sixty-five-year-old man arrived with sudden slurred speech, facial droop, and one-sided paralysis, the classic picture of acute ischemic stroke. Yet his CT and MRI showed no new brain lesion at all.
Blood tests instead revealed thrombotic thrombocytopenic purpura: very low platelets, mild anemia, raised breakdown markers, and a severely reduced ADAMTS-13 enzyme level. Plasma exchange treatment cleared his symptoms quickly. The authors warn emergency clinicians to think of this rare, fatal clotting disease whenever stroke-like signs arrive with low platelets, whether or not scans show damage.
Catalog record
| CREATOR | Ziyi Zhang, Miao He |
|---|---|
| YEAR | 2023 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 10 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |