Pseudoaneurysm Detected in Stroke Patient with Acquired Hemophilia: case report.

, Kim, A Ram; , Park, Jong Moon; , Lee, Jae Ho; , Yoon, Chul Ho; , Shin, Hee Suk; , Oh, Min Kyun

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2010;34(2):242-246.

Kim, A Ram , Park, Jong Moon , Lee, Jae Ho , Yoon, Chul Ho , Shin, Hee Suk , Oh, Min Kyun

Department of Rehabilitation Medicine and Institute of Health Sciences, Gyeongsang National University Graduate School of Medicine, Korea. solioh21@naver.com

후천성 혈우병을 동반한 뇌졸중 환자에서 발견된 가성동맥류 −증례 보고−

김아람, 박종문, 이재호, 윤철호, 신희석, 오민균

경상대학교 의학전문대학원 재활의학교실 및 건강과학연구원

Abstract

Pseudoaneurysm arises from disruption in arterial wall continuity resulting from inflammation, trauma or iatrogenic cause. Stroke patient with pseudoaneurysm during rehabilitation has not been reported yet. A 62-year-old man who participated in comprehensive rehabilitation program after stroke presented with right thigh swelling and pain. On physical examination, non-pulsatile tender and broad mass was palpated in the lateral region of right lower thigh. A 2.7 cm-sized pseudoaneurysm in right vastus muscle was identified by a duplex ultrasonography and enhanced CT- angiogram. The patient was successfully treated with ultrasonography-guided thrombin injection and embolization. At this time, laboratory test revealed prolongation of aPTT, undetectable factor VIII levels and the presence of the factor VIII antibody, which made the diagnosis of acquired hemophilia A. The patient was discharged 7 weeks later. We report a case of pseudoaneurysm during rehabilitation program in hemiplegic patient with acquired hemophilia A. (J Korean Acad Rehab Med 2010; 34: 242-246)

Key Words: Pseudoaneurysm, Hemiplegia, Hemophilia A