Embolic Stroke due to a Common Carotid Artery Thrombus in a Young Patient with Severe Iron-Deficiency Anemia without Thrombocytosis

Author

Roshal, David

Source

Case Reports in Neurological Medicine

Issue

Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2016-09-26

Country of Publication

Egypt

No. of Pages

4

Main Subjects

Medicine

Abstract EN

This case report describes a 41-year-old previously healthy male who presented with stuttering transient ischemic symptoms and radiographic evidence of a left common carotid artery thrombus as well as acute and subacute ischemic infarcts in the left middle cerebral artery territory.

An exhaustive stroke work-up did not provide a plausible etiology for his symptoms.

His complete blood count and iron studies, however, revealed evidence of severe iron-deficiency anemia without reactive thrombocytosis.

His stool guaiac test was positive.

He was discharged home on oral antithrombotic agents and aggressive iron replacement therapy with a plan for repeat vascular imaging in 3 months and a colonoscopy.

This case report suggests that severe iron-deficiency anemia with or without reactive thrombocytosis should be viewed as a possible hematologic condition associated with thrombotic tendencies and a risk factor for ischemic stroke, especially in young adults.

Aggressive iron supplementation and short-term antithrombotic therapy with follow-up vascular imaging are a reasonable treatment for these patients.

American Psychological Association (APA)

Roshal, David. 2016. Embolic Stroke due to a Common Carotid Artery Thrombus in a Young Patient with Severe Iron-Deficiency Anemia without Thrombocytosis. Case Reports in Neurological Medicine،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101311

Modern Language Association (MLA)

Roshal, David. Embolic Stroke due to a Common Carotid Artery Thrombus in a Young Patient with Severe Iron-Deficiency Anemia without Thrombocytosis. Case Reports in Neurological Medicine No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1101311

American Medical Association (AMA)

Roshal, David. Embolic Stroke due to a Common Carotid Artery Thrombus in a Young Patient with Severe Iron-Deficiency Anemia without Thrombocytosis. Case Reports in Neurological Medicine. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101311

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1101311