Cerebrovascular complications of immunologically mediated heparin-induced thrombocytopenia

Macha K, Kloska S, Dörfler A, Raaz-Schrauder D, Schwab S, Köhrmann M, Seifert F (2014)


Publication Type: Journal article

Publication year: 2014

Journal

Publisher: Georg Thieme Verlag

Book Volume: 82

Pages Range: 149-54

Journal Issue: 3

DOI: 10.1055/s-0034-1365923

Abstract

Immunologically mediated heparin-induced thrombocytopenia (HIT) is a thrombotic disease caused by antibodies occurring after heparin exposure. Thrombocytopenia occurs within a few days after heparin exposure, about half of HIT-patients develop venous or arterial thrombotic complications. Neurological complications of HIT are mainly ischaemic stroke and sinus vein thrombosis. To ensure the primary clinical diagnosis functional and immunological assays for antibody detection are available. The probability for the occurrence of HIT depends on the nature of heparin employed (LMWH vs. UFH) and individual patient characteristics such as gender and primary disease (medical vs. surgical patients). In the case of suspected HIT heparin administration should be discontinued immediately and replaced by an alternative anticoagulation to prevent the expansion or development of further thrombotic complications. Herein we report a case of a patient suffering from HIT-associated embolic cerebral ischaemic stroke.

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How to cite

APA:

Macha, K., Kloska, S., Dörfler, A., Raaz-Schrauder, D., Schwab, S., Köhrmann, M., & Seifert, F. (2014). Cerebrovascular complications of immunologically mediated heparin-induced thrombocytopenia. Fortschritte der Neurologie - Psychiatrie, 82(3), 149-54. https://doi.org/10.1055/s-0034-1365923

MLA:

Macha, K., et al. "Cerebrovascular complications of immunologically mediated heparin-induced thrombocytopenia." Fortschritte der Neurologie - Psychiatrie 82.3 (2014): 149-54.

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