Cerebral Small Vessel Disease in Immune-Mediated Thrombotic Thrombocytopenic Purpura Patients During the Acute Phase and Disease Remission - Takeaways - MDSpire
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Cerebral Small Vessel Disease in Patients with Immune-Mediated Thrombotic Thrombocytopenic Purpura During Acute Episodes and Remission Phases

  • By

  • Addolorata Truma

  • Francesco Maria Lo Russo

  • Giorgio Conte

  • Ilaria Mancini

  • Andrea Artoni

  • Juri Alessandro Giannotta

  • Barbara Ferrari

  • Pasquale Agosti

  • Maria Abbattista

  • Matteo Gagliardi

  • Eleonora Piccin

  • Marco Stroppi

  • Fabio Maria Triulzi

  • Flora Peyvandi

  • September 22, 2026

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  • 1

    Thrombotic thrombocytopenic purpura (TTP) is a rare, life-threatening thrombotic microangiopathy with an incidence of 2–6 cases per million people.

  • 2

    Approximately 60% of immune-mediated TTP cases involve neurological impairment due to microthrombotic ischemia, leading to various symptoms.

  • 3

    Cerebral small vessel disease (cSVD) is linked to aging and hypertension, contributing to ischemic strokes and cognitive impairment.

  • 4

    MRI findings are crucial for diagnosing cSVD, with specific markers used to quantify cumulative microvascular injury.

  • 5

    The study aims to assess cSVD prevalence in acute iTTP patients and evaluate MRI changes after 1 year of follow-up.

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