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以真性红细胞增多症为表现的急性脑缺血性卒中:一例病例报告及文献复习

Acute cerebral ischemic stroke as a presentation of polycythemia vera: a case report and a review of literature.

作者信息

Siyad Mohamed Osman, Osman Mohamed Farah, Adan Abdisamad Mohamed, Hassan Mohamed Sheikh, Jeele Mohamed Osman Omar

机构信息

Department of Internal Medicine.

Department of Neurology, Mogadishu Somali Turkish Training and Research Hospital, Mogadishu, Somalia.

出版信息

Ann Med Surg (Lond). 2023 Apr 1;85(5):2148-2150. doi: 10.1097/MS9.0000000000000582. eCollection 2023 May.

Abstract

UNLABELLED

Polycythemia vera (PV) is a disease of stem cells characterized by pan hyperplastic, malignant, and neoplastic bone marrow conditions. It is characterized by an increased absolute red blood cell count due to uncontrolled red blood cell synthesis, as well as excessive white blood cell and platelet production. Although the relationship between PV and stroke, especially ischemic stroke, is widely known around the world, no previous cases have been reported from Somalia.

CASE PRESENTATION

In the presenting study, we report a 60-year-old male patient who presented with a right-side weakness for 3 days. After laboratory and brain imaging, he was diagnosed with an acute cerebral infarct affecting the left basal ganglion secondary to PV.

CONCLUSIONS

PV as the cause of ischemic stroke is a rare condition but can be encountered in clinical practice, and clinicians should be familiar with this combination.

摘要

未标注

真性红细胞增多症(PV)是一种干细胞疾病,其特征为全骨髓增生、恶性及肿瘤性骨髓状况。它的特点是由于红细胞合成不受控制导致绝对红细胞计数增加,同时白细胞和血小板生成过多。尽管PV与中风,尤其是缺血性中风之间的关系在全球广为人知,但索马里此前尚未有病例报告。

病例介绍

在本研究中,我们报告了一名60岁男性患者,他出现右侧肢体无力3天。经过实验室检查和脑部成像,他被诊断为继发于PV的急性脑梗死,累及左侧基底节。

结论

PV作为缺血性中风的病因是一种罕见情况,但在临床实践中可能会遇到,临床医生应熟悉这种情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f831/10205191/84fd79665e7c/ms9-85-2148-g001.jpg

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