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Andrea Stracciari, MD; Gabriele Oiucci, MD; Giovanni Bianchedi, MD
Department of Neurology

Gianpiero Beccari, MD
Department of Second Internal Medicine St Maria delle Croci Hospital Via Missiroli 10 48100 Ravenna, Italy

Arch Neurol. 1987;44(10):996.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—Thrombotic thrombocytopenic purpura (TTP) is a potential but infrequent cause of cerebral ischemia in young adults.¹ In a recent survey of 144 young patients with nonhemorrhagic cerebral infarction,² no cases of TTP are reported. Computed tomographic (CT) evidence of cerebrovascular damage in TTP is extremely rare.³

Report of a Case.

—We recently admitted a 27-year-old woman because of recurrent attacks of right-sided central facial palsy (five in 36 hours), accompanied by slight fever. When she was not experiencing the attacks, her neurologic examination was normal. An electroencephalogram showed an excess of theta activity in the left frontotemporal regions. An electrocardiogram was normal. Blood parameters revealed severe hemolytic anemia (hemoglobin concentration, 57 g/L [5.7 g/dL], corrected reticulocyte count, 0.15 [15%]), severe thrombocytopenia (platelet count, 20 X 10⁶/L [20 000/mm³]), and mild disseminated intravascular coagulation (DIC) (fibrinogen level, 1.25 g/L [125 mg/dL]; . . . [Full Text PDF of this Article]

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