Bosphorus Med J. 2020; 7(3): 106-108 | DOI: 10.14744/bmj.2020.00710

Thrombotic Thrombocytopenic Purpura Presenting with Headache and Agitation: Case Report

Hatice Ferhan Kömürcü¹, Ezgi Yakupoðlu², Eren Gözke^1
1Department of Neurology, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Ýstanbul
²Department of Neurology, University of Health Sciences, Istanbul Erenkoy Training and Research Hospital for Psychiatry and Neurological Diseases

Thrombotic thrombocytopenic purpura (TTP) is a rare disease affecting many systems. TTP may be associated with fever, thrombocytopenia, hemolytic anemia, kidney and neurological dysfunction. Central nervous system and kidneys are frequently affected by TTP. Neurological symptoms include headache, mental disturbance, and changes in consciousness, seizures and focal neurological deficits. In this case study, we present a patient who was admitted to the emergency department with headache and agitation and was diagnosed as TTP.

Keywords: Agitation, headache; thrombotic thrombocytopenic purpura.

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Baþ Aðrýsý ve Ajitasyon ile Prezante Olan Trombotik Trombositopenik Purpura: Olgu Sunumu

Hatice Ferhan Kömürcü¹, Ezgi Yakupoðlu², Eren Gözke^1
1Saðlýk Bilimleri Üniversitesi Fatih Sultan Mehmet Eðitim ve Araþtýrma Hastanesi Nöroloji Kliniði, Ýstanbul
²Saðlýk Bilimleri Üniversitesi, Erenköy Ruh ve Sinir Hastalýkarý Eðitim ve Araþtýrma Hastanesi Nöroloji Kliniði, Ýstanbul

Trombotik trombositopenik purpura (TTP) nadir görülen pek çok sistemi etkileyen bir hastalýktýr. TTP, ateþ, trombositopeni, hemolitik anemi, böbrek ve nörolojik fonksiyon bozukluðu oluþturabilir. En sýk santral sinir sistemi ve böbrekler etkilenir. Nörolojik bulgular; baþ aðrýsý, mental deðiþiklikler, þuur durumunda deðiþiklik, nöbetler ve fokal nörolojik defisitler olarak ortaya çýkabilir. Baþ aðrýsý, ajitasyon ile acil servise baþvuran ve TTP tanýsý konan bir hasta sunuyoruz.

Anahtar Kelimeler: Ajitasyon, baþ aðrýsý; trombotik trombositopenik purpura.

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