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Brain Inj. 2005 Aug 20;19(9):739-42.

Deep vein thrombosis in a tetraparesic patient with mental retardation: case report and review of the literature.

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  • 1Fairview Developmental Center, Costa Mesa, CA 92626, USA. glohiya@fdc.dds.ca.gov

Abstract

OBJECTIVE:

To report a case of deep vein thrombosis (DVT) in a tetraparesic patient, a member of a population in which DVT is reportedly rare.

CASE REPORT:

A 36-year old tetraparesic resident of a developmental centre suddenly developed swelling of one leg. Her plasma D-dimer level was 751 (normal<500) ng ml-1. A Doppler ultrasound revealed femoral vein thrombosis. She usually spent 10-12 hours daily in a chair. For menstrual problems, she had received oral contraceptives (OC) for 23 months. She had no other genetic or acquired predisposition to DVT. She was anti-coagulated for 6 months and the OC was discontinued. She recovered without complications. Her DVT was probably caused by her immobility, prolonged sitting and OC.

CONCLUSION:

DVT may develop in tetraparesic patients if they are exposed to additional prothrombotic factors. OC should be prescribed cautiously to such people. Relevant literature, prevention and treatment are discussed.

PMID:
16195188
[PubMed - indexed for MEDLINE]
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