虚血性脳卒中における本態性血小板血症患者の血栓弾性図検査における高線溶症例
Daisuke Kudo1, Kotaro Noda1, Motohiro Suzuki1
1Department of Neurology and Neurological Science, Institute of Science Tokyo Hospital, Japan.
Abstract:
Essential thrombocythemia (ET) is a myeloproliferative neoplasm that is characterized by thrombocytosis. Because it is characterized by thromboembolic and hemorrhagic events, balancing the coagulation status is essential. Thromboelastography (TEG) is a point-of-care viscoelastic test that evaluates whole-blood coagulation dynamics. We herein describe the case of a patient with ischemic stroke accompanied by ET who underwent TEG. The lysis index after 30 min (LY30) was elevated when hemorrhagic transformation occurred. After augmentation with cytoreductive therapy, the platelet count and LY30 levels rapidly normalized. Our findings indicate that TEG may be therefore useful for monitoring the complicated coagulation status of ET patients.
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