Document Detail


Atypical reversible posterior leukoencephalopathy syndrome in thrombotic thrombocytopenic purpura.
MedLine Citation:
PMID:  18981640     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 32-year-old man with an atypical form of reversible leukoencephalopathy syndrome (RPLS) caused by thrombotic thrombocytopenic purpura (TTP) is reported. In this particular case, a timely diagnosis of TTP was established primarily on the clinical findings, which led to the early initiation of plasmapheresis and resulted in excellent clinical recovery. The pathophysiological aspects of the relationship between TTP and RPLS are discussed in light of the clinical and radiological features (including diffusion- and perfusion-weighted magnetic resonance imaging studies) of this case. The mechanism for TTP-associated, or TTP-induced, leukoencephalopathy is suggested to be independent of hypertension and vasoconstriction. TTP-associated endothelial injury can play a major role as the inciting mechanism for the development of RPLS.
Authors:
Demet Funda Bas; Kader Karli Oguz; Mehmet Akif Topcuoglu
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-11-04
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  47     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2008  
Date Detail:
Created Date:  2008-11-04     Completed Date:  2009-06-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1931-4     Citation Subset:  IM    
Affiliation:
Department of Neurology, Hacettepe University Hospitals, Ankara, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adult
Humans
Male
Posterior Leukoencephalopathy Syndrome / complications*,  diagnosis*,  therapy
Purpura, Thrombotic Thrombocytopenic / complications*,  diagnosis*,  therapy

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