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To highlight a case of thrombotic microangiopathy secondary to malignant hypertension that resulted in ischemic stroke.

Abstract Number: Esoc2026a114 Thrombotic Microangiopathy (Tma) Secondary to Malignant Hypertension as a Cause of Stroke

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To highlight a case of thrombotic microangiopathy secondary to malignant hypertension that resulted in ischemic stroke.
Clinical observation of a 39-year-old male with ischemic stroke from multiple territories.
Assessment of blood pressure, renal dysfunction, retinopathy, and hematologic parameters including hemolysis assessment and PLASMIC score.
Evaluation for other secondary causes of thrombotic microangiopathy.
Patient displayed ischemic stroke affecting anterior and middle cerebral arteries.
Confirmed hypertension with 220/100 mm Hg and identified renal dysfunction and retinopathy.
Low PLASMIC score of 2 with no thrombocytopenia and normal ADAMTS-13 activity.

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Case report shows ischemic stroke resulting from thrombotic microangiopathy due to hypertension, indicating a diagnostic challenge.

Zubalova et al. (2026) studied this question.

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