Unusual neurologic manifestations of a patient with cyanotic congenital heart disease after phlebotomy.
Secondary erythrocytosis in cyanotic congenital heart disease (CCHD) is a compensatory response to chronic hypoxia which should be managed with caution. CCHD patients, who have compensated erythrocytosis but do not manifest significant neurologic symptoms, may experience secondary life-threatening complications such as stroke in case of inappropriate phlebotomy. This study reports a young man with CCHD who developed frequently repeated transient neurologic deficits with various presentations after one session of phlebotomy. The symptoms resolved a few days after the hematocrit (Hct) level returned to the prephlebotomy level.
Department of Neurology, Bushehr University of Medical Sciences, Bushehr 7514633341, Iran.
Hooman
H
Salimipour
Department of Neurology, Bushehr University of Medical Sciences, Bushehr 7514633341, Iran.
Somayeh
S
Mehdizadeh
Department of Neurology, Bushehr University of Medical Sciences, Bushehr 7514633341, Iran ; The Persian Gulf Tropical Medicine Research Center, Bushehr University of Medical Sciences, Bushehr 7514763448, Iran.
Reza
R
Nemati
Department of Cardiology, Bushehr University of Medical Sciences, Bushehr 7514633341, Iran.
Mohamad Reza
MR
Pourbehi
Department of Neurology, Bushehr University of Medical Sciences, Bushehr 7514633341, Iran.
Gholam Reza
GR
Pourbehi
The Persian Gulf Nuclear Medicine Research Center, Bushehr University of Medical Sciences, Bushehr 7514633341, Iran.
Majid
0000-0002-2166-3765
M
Assadi