Miyelodisplastik Sendromda Bilateral Talamik İnfarkt (Olgu Sunumu)
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Dosyalar
Tarih
2008
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Cilt Başlığı
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bilimsel zemin: Bilateral talamik infarkt oldukça nadir olup %0.6 oranında görülür. Arterden artere emboli, kardiyoembolizm, migren ve tek talamik perforan arterin bulunması bilateral talamik infarkt nedenleri arasındadır. Birçok hematolojik hastalığın seyri sırasında tromboza eğilim artmakta ve bu durumun sonucu olarak da inme görülebilmektedir. Amaç: Literatüre bakıldığında miyelodisplastik sendrom ve bilateral talamik infarkt birlikteliğine rastlanmamıştır. Bu nedenle, miyelodisplastik sendromlu bir olgunun bilateral talamik infarkt gelişmesi nedeniyle literatür ışığında tartışılması amaçlandı. Olgu: 52 yaşında kadın hasta başağrısı, sağ tarafında güçsüzlük yakınmasıyla hematoloji servisinde yatarken konsulte edildi. 10 yıldır miyelodispastik sendrom tanısıyla hematoloji kliniğince takip edilen hastanın nörolojik muayenesinde yüzü de içine alan sağ hemiparezi sendromu tespit edildi. Duyu muayenesinde sağda tüm duyu modalitelerinde kayıp vardı, solda ise yalnızca vibrasyon duyusu kaybı mevcuttu. Kranial MRG'de bilateral talamik infarkt tespit edildi. Etyolojide miyelodisplastik sendrom dışında herhangi bir patoloji tespit edilmedi. Yorum: Bilateral talamik infarkt nedenleri arasında miyelodisplastik sendrom gibi bir kan hastalığının olabileceği de akılda tutulmalıdır.
Scientific background: Bilateral thalamic infarct is quite rare and encountered at the rate of 0.6%. Emboly from an artery to another, cardioembolism, migrain and the existence of an only perforing artery are among the causes of bilateral thalamic infarct. During the course of many hematologic diseases, tendency to thrombosis increases, and therefore, stroke can also be witnessed. Objective: Upon scanning the literature, concurrence of myelodysplastic syndrome and bilateral thalamic infarct have not been encountered. Thus, a subject with myelodysplastic syndrome was aimed to be discussed due to the development of bilateral thalamic infarct in the light of the literature. Case: A 52 years old woman was consulted with the complaint of headache and weakness on her right side as an inpatient in hematology unit. On the neurological examination of the patient who was followed by the hematology unit for a decade with the diagnosis of myelodysplastic syndrome, right hemiparesis including her face was determined. On the sensorial examination, there was a decrease in all her sensorial modalities on the right, but there was only loss of sensorial vibration on the left. On cranial MRI, bilateral thalamic infarct was detected. No other'pathologies except for myelodysplastic syndrome were found in the etiology.
Scientific background: Bilateral thalamic infarct is quite rare and encountered at the rate of 0.6%. Emboly from an artery to another, cardioembolism, migrain and the existence of an only perforing artery are among the causes of bilateral thalamic infarct. During the course of many hematologic diseases, tendency to thrombosis increases, and therefore, stroke can also be witnessed. Objective: Upon scanning the literature, concurrence of myelodysplastic syndrome and bilateral thalamic infarct have not been encountered. Thus, a subject with myelodysplastic syndrome was aimed to be discussed due to the development of bilateral thalamic infarct in the light of the literature. Case: A 52 years old woman was consulted with the complaint of headache and weakness on her right side as an inpatient in hematology unit. On the neurological examination of the patient who was followed by the hematology unit for a decade with the diagnosis of myelodysplastic syndrome, right hemiparesis including her face was determined. On the sensorial examination, there was a decrease in all her sensorial modalities on the right, but there was only loss of sensorial vibration on the left. On cranial MRI, bilateral thalamic infarct was detected. No other'pathologies except for myelodysplastic syndrome were found in the etiology.
Açıklama
Anahtar Kelimeler
Nörolojik Bilimler, bilateral thalamic infarct, myelodysplastic syndrome, bilateral talamik infarkt, miyelodisplastik sendrom
Kaynak
Türk Nöroloji Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
14
Sayı
1
Künye
Güney, F., Kozak, H. H., Genç, B. O., Yetkin, E., (2008). Miyelodisplastik Sendromda Bilateral Talamik İnfarkt (Olgu Sunumu). Türk Nöroloji Dergisi, 14(1), 41-44.
