Acute ischemic stroke in the setting of essential thrombocytemia (clinical cases)

Ter Arkh. 2018 Aug 17;90(7):102-104. doi: 10.26442/terarkh2018907102-104.

Abstract

This article describes several clinical cases of acute ischemic stroke among patients suffering from essential thrombocytemia. Ambiguity of etiological factors of stroke is demonstrated among patients with this pathology. Thrombocytosis and high allele load in the Jak2 gene play an important role (even with normal platelet count) in progression of cerebrovascular disease. Also the question of effectiveness of preventive and etiological therapy is considered.

Keywords: acute ischemic stroke; blood coagulation system; cerebrovascular disease; endothelial dysfunction; haemotology; myeloproliferative disorders; thrombosis.

Publication types

  • Case Reports

MeSH terms

  • Brain Ischemia / diagnostic imaging
  • Brain Ischemia / etiology*
  • Cerebrovascular Circulation / drug effects
  • Female
  • Gene Frequency
  • Humans
  • Janus Kinase 2 / genetics
  • Middle Aged
  • Platelet Aggregation Inhibitors / therapeutic use
  • Platelet Count
  • Quinazolines / therapeutic use
  • Stroke / diagnostic imaging
  • Stroke / etiology*
  • Thrombocythemia, Essential / complications*
  • Thrombocythemia, Essential / drug therapy
  • Thrombocythemia, Essential / genetics
  • Treatment Outcome

Substances

  • Platelet Aggregation Inhibitors
  • Quinazolines
  • JAK2 protein, human
  • Janus Kinase 2
  • anagrelide