Author/Authors :
Vafaeimanesh، Jamshid نويسنده Internist, Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran Vafaeimanesh, Jamshid , Mehrafshan، Ali نويسنده Department of Neurosurgery Qom University of Medical Sciences, Qom, Iran Mehrafshan, Ali , Nazeri، Azam نويسنده Nurse, Shahid Beheshti Hospital, Qom, Iran Nazeri, Azam , Hosseinzadeh، Fatemeh نويسنده Department of Interal Medicine, Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran Hosseinzadeh, Fatemeh
Abstract :
Background: Postpartum thrombotic thrombocytopenic purpura (TTP) should be considered in thrombocytopenic patients.
Case report: The patient was a 28-year-old pregnant woman referred for cesarean section. After CS, hysterectomy was done due to uncontrolled vaginal bleeding. Peripheral blood smear confirmed the TTP diagnosis. Plasmapheresis was initiated and platelets were infused. Six hours after infusion, tonic-colonic seizure, left hemiplegia and bellʹs palsy appeared. Brain CT Scan revealed intracranial hemorrhage. 28 plasmapheresis sessions were performed and finally, she was discharged with good general condition.
