Journal of Clinical Case Reports

Naoki Kato

Publications

• Case Report
  Multiple Intracerebral Hemorrhages Prior to the Diagnosis of Acute Lymphocytic Leukemia
  Author(s): Kinoshita Yu, Hidekazu Horiuchi, Naoki Kato and Ching-Chan SuKinoshita Yu, Hidekazu Horiuchi, Naoki Kato and Ching-Chan Su
  
  Intracerebral Hemorrhage (ICH) can be seen in patients with acute leukemia, however, it is extremely rare to present ICH as the initial presentation in previously undiagnosed acute leukemia. Only four cases were reported in the English literature. This 17-year-old male was admitted with sudden onset of headache, nausea and vomiting. Three days before this admission, he visited an ophthalmological department for bilateral blurred vision. Bilateral retinal hemorrhages were detected by the funduscopic examination; however, further examinations were not performed at that time. On arrival at our hospital, his Glasgow Coma Scale was 8 (E2, V3, M3) and urgent head CT scan showed multiple Computed Tomography (CT) head demonstrated multiple ICHs. On admission, his White Blood Cell (WBC) count was 584,000/μl with evidence of blast crisis, and platelet count was 18,000/μl. Despite urgent p.. Read More»
  DOI: 10.4172/2165-7920.1000453

  Abstract PDF