CONCLUSION
This case report shows how TTP can present as ischaemic stroke which is an atypical presentation. It is interesting to note that our patient is the first Ghanaian to undergo plasmapheresis and the only case described in literature and this makes our reported case a unique one. This may be due to late or missed diagnosis, the unavailability of screening tools or inadequate funds to patronize plasma exchange. Rapid diagnosis and treatment are necessary for decreasing the risk of fatal outcomes in patients with TTP. This case illustrates the potential of TTP masquerading as Ischaemic Stroke and it is necessary that Clinicians are familiar with the clinical presentation and laboratory abnormalities of TTP, to make early diagnosis and initiate appropriate therapy.