Recurrent Transient Ischemic Attacks in a Patient with POEMS Syndrome.
A 47-year-old female with a prior history of POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome was admitted with transient ischemic attacks complicated by dysarthria and right-sided hemiparesis. A blood survey indicated thrombocytosis and hyperfibrinogenemia while imaging of intracranial vasculature showed occlusion of the bilateral middle cerebral arteries. POEMS syndrome, of which arterial thromboses have been mentioned as a manifestation, is rarely accompanied by transient ischemic attacks. The pathophysiologic mechanism is yet unclear and needs further investigation.
Department of Neurology, Faculty of Medicine, Gazi University, 06500 Ankara, Turkey.
A
A
Akyol
Department of Neurology, Faculty of Medicine, Gazi University, 06500 Ankara, Turkey.
B
B
Nazliel
Department of Neurology, Faculty of Medicine, Gazi University, 06500 Ankara, Turkey.
H Z
HZ
Batur Caglayan
Department of Radiology, Faculty of Medicine, Gazi University, 06500 Ankara, Turkey.
Y
Y
Oner
Department of Hematology, Faculty of Medicine, Gazi University, 06500 Ankara, Turkey.
G Turkoz
GT
Sucak