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[Cerebrovascular complications of immunologically mediated heparin-induced thrombocytopenia].
[heparin-induced thrombocytopenia]
Immunologically
mediated
heparin-induced
thrombocytopenia
(
HIT
)
is
a
thrombotic
disease
caused
by
antibodies
occurring
after
heparin
exposure
.
Thrombocytopenia
occurs
within
a
few
days
after
heparin
exposure
,
about
half
of
HIT
-patients
develop
venous
or
arterial
thrombotic
complications
.
Neurological
complications
of
HIT
are
mainly
ischaemic
stroke
and
sinus
vein
thrombosis
.
To
ensure
the
primary
clinical
diagnosis
functional
and
immunological
assays
for
antibody
detection
are
available
.
The
probability
for
the
occurrence
of
HIT
depends
on
the
nature
of
heparin
employed
(
LMWH
vs
.
UFH
)
and
individual
patient
characteristics
such
as
gender
and
primary
disease
(
medical
vs
.
surgical
patients
)
.
In
the
case
of
suspected
HIT
heparin
administration
should
be
discontinued
immediately
and
replaced
by
an
alternative
anticoagulation
to
prevent
the
expansion
or
development
of
further
thrombotic
complications
.
Herein
we
report
a
case
of
a
patient
suffering
from
HIT
-associated
embolic
cerebral
ischaemic
stroke
.
Diseases
Validation
Diseases presenting
"further thrombotic complications"
symptom
heparin-induced thrombocytopenia
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