A patient with idiopathic thrombocytopenic purpura presenting with an acute ischemic stroke.
We report a 63 year-old man with an acute right occipital lobe infarction coincident with idiopathic thrombocytopenic purpura. The patient's thrombocytopenia responded to steroids and intravenous immune globulin with no further cerebrovascular complications. We suggest that ITP-induced platelet microparticles contributed to our patient's stroke. Proper management of acute ischemic stroke in the setting of idiopathic thrombocytopenic purpura is unclear.
Theeler
Brett J
BJ
Madigan Army Medical Center, Department of Neurology, Tacoma, Washington 98431, USA. btheeler@hotmail.com
Ney
John P
JP
D000208:Acute Disease; D001792:Blood Platelets / Q000473:pathology; D002545:Brain Ischemia / Q000097:blood / Q000209:etiology*; D002121:Calcium Channel Blockers; D002544:Cerebral Infarction / Q000097:blood / Q000209:etiology; D000075202:Contraindications; D038524:Diffusion Magnetic Resonance Imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D009778:Occipital Lobe / Q000098:blood supply*; D010316:Particle Size; D010975:Platelet Aggregation Inhibitors; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000097:blood / Q000150:complications*
D002121:Calcium Channel Blockers; D010975:Platelet Aggregation Inhibitors