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Neurological picture
Petechial brain haemorrhages in acute lymphoblastic leukaemia
  1. Rossella Spataro,
  2. Vincenzo La Bella
  1. Neurology Unit, Department of Experimental BioMedicine and Clinical Neurosciences, University of Palermo, Palermo, Italy
  1. Correspondence to Dr V La Bella, Neurology Unit, Department of Experimental BioMedicine and Clinical Neurosciences, BioNeC, University of Palermo, Via G La Loggia, 1–90129 Palermo, Italy; vincenzo.labella{at}unipa.it

https://doi.org/10.1136/jnnp-2013-305375

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    A 37-year-old office worker was referred to our hospital with severe weakness, malaise, headache and altered mental status. He was mildly febrile (37.5°C) with reported episodes of agitation. A blood count revealed 709 720 white blood cells (WBC)/μl with 33 000 platelets/μl. The clinical, imaging and laboratory workup led to a diagnosis of acute lymphoblastic leukaemia (ALL) …

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    Footnotes

    • Contributors RS contributed to the diagnosis and MRI interpretation, and drafted the manuscript. VLB contributed to the MRI interpretation and revised the manuscript.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.