Unusual Neurologic Manifestations of a Patient with Cyanotic Congenital Heart Disease after Phlebotomy

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 c...

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Autores principales: Salimipour, Hooman, Mehdizadeh, Somayeh, Nemati, Reza, Pourbehi, Mohamad Reza, Pourbehi, Gholam Reza, Assadi, Majid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4398948/
https://www.ncbi.nlm.nih.gov/pubmed/25922773
http://dx.doi.org/10.1155/2015/924862
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author Salimipour, Hooman
Mehdizadeh, Somayeh
Nemati, Reza
Pourbehi, Mohamad Reza
Pourbehi, Gholam Reza
Assadi, Majid
author_facet Salimipour, Hooman
Mehdizadeh, Somayeh
Nemati, Reza
Pourbehi, Mohamad Reza
Pourbehi, Gholam Reza
Assadi, Majid
author_sort Salimipour, Hooman
collection PubMed
description 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.
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spelling pubmed-43989482015-04-28 Unusual Neurologic Manifestations of a Patient with Cyanotic Congenital Heart Disease after Phlebotomy Salimipour, Hooman Mehdizadeh, Somayeh Nemati, Reza Pourbehi, Mohamad Reza Pourbehi, Gholam Reza Assadi, Majid Case Rep Neurol Med Case Report 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. Hindawi Publishing Corporation 2015 2015-04-02 /pmc/articles/PMC4398948/ /pubmed/25922773 http://dx.doi.org/10.1155/2015/924862 Text en Copyright © 2015 Hooman Salimipour et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Salimipour, Hooman
Mehdizadeh, Somayeh
Nemati, Reza
Pourbehi, Mohamad Reza
Pourbehi, Gholam Reza
Assadi, Majid
Unusual Neurologic Manifestations of a Patient with Cyanotic Congenital Heart Disease after Phlebotomy
title Unusual Neurologic Manifestations of a Patient with Cyanotic Congenital Heart Disease after Phlebotomy
title_full Unusual Neurologic Manifestations of a Patient with Cyanotic Congenital Heart Disease after Phlebotomy
title_fullStr Unusual Neurologic Manifestations of a Patient with Cyanotic Congenital Heart Disease after Phlebotomy
title_full_unstemmed Unusual Neurologic Manifestations of a Patient with Cyanotic Congenital Heart Disease after Phlebotomy
title_short Unusual Neurologic Manifestations of a Patient with Cyanotic Congenital Heart Disease after Phlebotomy
title_sort unusual neurologic manifestations of a patient with cyanotic congenital heart disease after phlebotomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4398948/
https://www.ncbi.nlm.nih.gov/pubmed/25922773
http://dx.doi.org/10.1155/2015/924862
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