Unusual neurologic manifestations of a patient with cyanotic congenital heart disease after phlebotomy.
Hooman SalimipourSomayeh MehdizadehReza NematiMohamad Reza PourbehiGholam Reza PourbehiMajid AssadiPublished in: Case reports in neurological medicine (2015)
Secondary erythrocytosis in cyanotic congenital heart disease (CCHD) is a compensatory response to chronic hypoxia which should be managed with caution. CCHD patients, who have compensated erythrocytosis but do not manifest significant neurologic symptoms, may experience secondary life-threatening complications such as stroke in case of inappropriate phlebotomy. This study reports a young man with CCHD who developed frequently repeated transient neurologic deficits with various presentations after one session of phlebotomy. The symptoms resolved a few days after the hematocrit (Hct) level returned to the prephlebotomy level.
Keyphrases
- congenital heart disease
- end stage renal disease
- newly diagnosed
- ejection fraction
- chronic kidney disease
- peritoneal dialysis
- prognostic factors
- traumatic brain injury
- case report
- sleep quality
- patient reported outcomes
- high intensity
- endothelial cells
- cell proliferation
- cell death
- depressive symptoms
- middle aged
- subarachnoid hemorrhage