血栓性血小板减少性紫癜(thrombotic thrombocytopenic purpura,TTP)是一种少见疾病,虽然该病发病率较低,近几年有增加趋势[1],多数患者起病急剧,病情凶险,病死率90%以上[2],而以神经系统症状为首发症状者,容易误诊及漏诊为脑血管疾病,延误治疗,增加病死率,容易引起医患纠纷。本研究通过分析和探讨我院收治的1例TTP患者神经系统表现,结合相关文献,分析 Thrombotic thrombocytopenic purpura (TTP) is a rare disease, although the incidence of the disease is relatively low in recent years, an increasing trend [1], most patients with acute onset, dangerous condition, the mortality rate of 90% The above [2], and neurological symptoms as the first symptom, easily misdiagnosed and missed diagnosis of cerebrovascular disease, delay treatment, increase mortality, easily lead to medical disputes. In this study, by analyzing and exploring the neurological manifestations of a case of TTP admitted to our hospital, combined with relevant literature, analysis