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- Title
A case of spinal cord infarction caused by polycythemia vera.
- Authors
Lee, J; Lim, Y-M; Kim, K-K
- Abstract
Study design:This is a case report.Objective:The objective of this study was to report on a 66-year-old woman with a confirmed diagnosis of polycythemia vera who presented with acute spinal cord infarction.Setting:A 66-year-old woman was previously diagnosed with polycythemia vera and presented with acute paraparesis and urinary retention.Results:The patient's platelet count was 847 000 platelets per μl. T2- and diffusion-weighted magnetic resonance imaging revealed hyperintensity at the T12-L1 spinal cord. Computed tomography of the abdominal aorta further revealed multiple thrombi filling the aortic lumen.Conclusions:Polycythemia vera creates a high risk of systemic thrombosis due to hyperviscosity and platelet activation. Although acute infarction in the spinal cord is a rare complication of this myeloproliferative disease, it should be considered in all affected patients.
- Subjects
SPINAL cord radiography; INFARCTION; ABDOMINAL radiography; COMPUTED tomography; MAGNETIC resonance imaging; POLYCYTHEMIA; SPINAL cord; PLATELET count; DISEASE complications; DIAGNOSIS
- Publication
Spinal Cord, 2015, Vol 53, pS19
- ISSN
1362-4393
- Publication type
Article
- DOI
10.1038/sc.2014.222