J Korean Neurol Assoc.  2000 Mar;18(2):215-218.

A Case of Cerebral Infarction and Chronic Subdural Hematoma in Essential Thrombocythemia

• Lee JY
• Kwon JB
• Yang HD
• Lee SI
• Son IH
• Moon JS
• Lee SS

Abstract

Essential thrombocythemia is one type of the related chronic myeloproliferative disorders that also include poly-cythemia vera, chronic myelogenous leukemia, and idiopathic myelofibrosis. It is a rare disorder of unknown origin characterized by thrombocytosis, excessive megakaryocytes, hemorrhage, and thrombotic complication. Several cases of ischemic stroke in essential thrombocythemia have been reported, but cerebral infarction combined with cerebral hemorrhage has been very rare and has not been reported in Korea. We report a case of cerebral infarction and chronic subdural hematoma in a pateint with essential thrombocythemia. A 59-year-old woman with essential thrombocythemia was admitted with mild left hemiparesis that developed 3 days prior. She had a history of minor trauma 15 days prior. A brain MRI showed an infarction in the right temporal lobe and a chronic subdural hematoma in the right frontoparietal area. A cerebral angiography revealed an occlusion of the M2 portion of the right middle cerebral artery.

Keyword

Thrombocythemia; Cerebral Infarction; Chronic Subdural Hematoma

MeSH Terms

Brain
Cerebral Angiography
Cerebral Hemorrhage
Cerebral Infarction*
Female
Hematoma, Subdural, Chronic*
Hemorrhage
Humans
Infarction
Korea
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
Magnetic Resonance Imaging
Megakaryocytes
Middle Aged
Middle Cerebral Artery
Myeloproliferative Disorders
Paresis
Primary Myelofibrosis
Stroke
Temporal Lobe
Thrombocythemia, Essential*
Thrombocytosis