Publication:
Herlyn Werner Wunderlich Syndrome Presenting with Ischemic Stroke due to Suspected Paroxysmal Nocturnal Hemoglobinuria: A Case Report

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorAcharya, Ayushma
dc.contributor.authorYogi, Prajwala
dc.contributor.authorSingh, Pramod
dc.contributor.authorBhattarai, Tulsi Ram
dc.date.accessioned2026-03-16T05:35:25Z
dc.date.available2026-03-16T05:35:25Z
dc.date.issued2021
dc.descriptionAyushma Acharya Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal https://orcid.org/0000-0002-4955-2397 Prajwala Yogi Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal Pramod Singh Faisalabad Medical University, Punjab, Pakistan https://orcid.org/0000-0001-6350-6293 Tulsi Ram Bhattarai Department of Internal Medicine, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
dc.description.abstractAbstract: Paroxysmal nocturnal hemoglobinuria can rarely present as cerebral ischemia and stroke due to arterial thrombosis. However, it should be considered in a young patient with bone marrow failure features, systemic thromboses, and hemolysis. The variants of paroxysmal nocturnal hemoglobinuria pose a diagnostic challenge and hence are important to recognize. We report a case of a 28-years-old female with Herlyn Werner Wunderlich Syndrome who presented with an ischemic cerebrovascular accident, pancytopenia, hemoglobinuria, and widespread abdominal thromboses suggestive of paroxysmal nocturnal hemoglobinuria. The patient was managed symptomatically and referred to a hematologist.
dc.identifierhttps://doi.org/10.31729/jnma.5838
dc.identifier.urihttps://hdl.handle.net/20.500.14572/5144
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectcerebral ischemia
dc.subjectaroxysmal nocturnal hemoglobinuria
dc.subjectstroke
dc.titleHerlyn Werner Wunderlich Syndrome Presenting with Ischemic Stroke due to Suspected Paroxysmal Nocturnal Hemoglobinuria: A Case Report
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage196
oaire.citation.startPage192
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relation.isJournalIssueOfPublication.latestForDiscoveryf3e5af8c-a6f3-4c94-b589-d2f335a6924c
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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