Difficulties of reperfusion therapy of cerebral infarction in a patient with erythrocytosis

Abstract

A brain infarction can occur as a result of rare diseases of the blood system. The clinical observation of reperfusion therapy in a patient with the Chuvash type of hereditary familial erythrocytosis is given. Although the patient took acetylsalicylic acid (500 mg per day), thrombosis of the M1 segment of the middle cerebral artery occurred. Despite the introduction of alteplase, a recombinant tissue plasminogen activator, thromboaspiration and thromboextraction to the patient, success was short-lived and retrombosis occurred. It is necessary to further study the problem of treating patients with cerebral infarction associated with hematological disease.