Thrombotic Microangiopathy After Traumatic Brain Injury: A Case Report and Review of the Literature
Overview
Authors
Affiliations
Key Clinical Message: This case report supports that trauma can rarely cause thrombotic microangiopathy (TMA). Early recognition is important due to a high mortality of untreated TMA, but diagnosis can be delayed by attributing lab abnormalities as due to blood loss.
Abstract: Major trauma can provoke coagulopathy, ranging from hypo- to hypercoagulation. Thrombotic microangiopathy (TMA), characterized by hemolytic anemia, renal failure, thrombocytopenia, and intravascular hemolysis, results in bleeding tendency but also microvascular thrombosis. We report a rare case of isolated traumatic brain injury leading to TMA treated with plasmapheresis.
Thrombotic microangiopathy after traumatic brain injury: A case report and review of the literature.
Van Meerbeeck X, Janssen L, Vleut R, Verdonck P, Gadisseur A, Paep R Clin Case Rep. 2023; 11(9):e7838.
PMID: 37692157 PMC: 10491750. DOI: 10.1002/ccr3.7838.