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Repeated Ischemic Stroke Due to in Situ Thrombus at the Middle Cerebral Artery in a Patient with Essential Thrombocythemia

Overview
Journal Intern Med
Specialty General Medicine
Date 2024 May 29
PMID 38811226
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Abstract

Essential thrombocythemia (ET) is a myeloproliferative neoplasm that is a rare cause of ischemic stroke. We herein report a 70-year-old man with JAK2 V617F mutation-positive ET who experienced ischemic stroke twice in 1 month due to transient stenosis. In both events, transient stenosis formed at the same curvature of the right middle cerebral artery, and the thrombus disappeared with the initiation of antiplatelet agents. The formation of in situ thrombus at the curvature of the intracranial vessels may be a unique characteristic of JAK2 V617F mutation-positive ET patients.

References
1.
Kato Y, Hayashi T, Sehara Y, Deguchi I, Fukuoka T, Maruyama H . Ischemic stroke with essential thrombocythemia: a case series. J Stroke Cerebrovasc Dis. 2015; 24(4):890-3. DOI: 10.1016/j.jstrokecerebrovasdis.2014.12.012. View

2.
Castiglione M, Jiang Y, Mazzeo C, Lee S, Chen J, Kaushansky K . Endothelial JAK2V617F mutation leads to thrombosis, vasculopathy, and cardiomyopathy in a murine model of myeloproliferative neoplasm. J Thromb Haemost. 2020; 18(12):3359-3370. PMC: 7756295. DOI: 10.1111/jth.15095. View

3.
Hobbs C, Manning H, Bennett C, Vasquez L, Severin S, Brain L . JAK2V617F leads to intrinsic changes in platelet formation and reactivity in a knock-in mouse model of essential thrombocythemia. Blood. 2013; 122(23):3787-97. PMC: 3843237. DOI: 10.1182/blood-2013-06-501452. View

4.
Barbui T, Finazzi G, Carobbio A, Thiele J, Passamonti F, Rumi E . Development and validation of an International Prognostic Score of thrombosis in World Health Organization-essential thrombocythemia (IPSET-thrombosis). Blood. 2012; 120(26):5128-33. DOI: 10.1182/blood-2012-07-444067. View

5.
Zhou J, Li Y, Chien S . Shear stress-initiated signaling and its regulation of endothelial function. Arterioscler Thromb Vasc Biol. 2014; 34(10):2191-8. PMC: 4169328. DOI: 10.1161/ATVBAHA.114.303422. View