Neurol. praxi. 2019;20(6):479-481

The Importance of laboratory screening at paraesthesias

MUDr. Richard Novobilský1, MUDr. Jana Horáková1, MUDr. Pavel Ressner, Ph.D.1,2, doc. MUDr. Michal Bar, Ph.D., FESO1,2, MUDr. Jaromír Gumulec3
1 Neurologická klinika Fakultní nemocnice v Ostravě
2 Katedra neurologie a psychiatrie LF OSU v Ostravě
3 Klinika hematoonkologie Fakultní nemocnice v Ostravě a Lékařské fakulty Ostravské univerzity, Ostrava

This case report presents a 53-year-old woman treated at neurological emergency for transient acral paresthesias of the right upper limb and periorally without any other neurological deficit. Following an initial magnesium infusion she was sent home. A week later she was examined again for tingling in both left-sided limbs, objectively there was a central paresis of the left facial nerve, CT brain scan without a pathological finding, in laboratory test there was heavy haemolytic anemia and thrombocytopenia, she was sent to a hemathological ICU with a preliminary diagnosis of Thrombotic thrombocytopenic purpura. In this report I would like to briefly introduce this rare syndrome, of which wide range of symptoms are reflected into many of medical disciplines.

Keywords: thrombotic thrombocytopenic purpura, microangiopathy

Published: December 1, 2019  Show citation

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Novobilský R, Horáková J, Ressner P, Bar M, Gumulec J. The Importance of laboratory screening at paraesthesias. Neurol. praxi. 2019;20(6):479-481.
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