Gopalratnam Kavitha, Woodson Kevin Andrew, Rangunwala Jigarkumar, Sena Kanaga, Gupta Manisha
Bridgeport Hospital-Yale New Haven Health, 267 Grant St, Bridgeport, CT 06610, USA.
Case Rep Med. 2017;2017:1684631. doi: 10.1155/2017/1684631. Epub 2017 Feb 28.
Ischemic strokes occur when there is a sudden obstruction of an artery supplying blood flow to an area of the brain, leading to a focal neurological deficit. Strokes can be thrombotic or embolic in etiology and are associated with underlying conditions such as hypertension and atherosclerosis. Possible etiologies of strokes include cardioembolic disease, hematologic disorders, connective tissue disorders, and substance abuse or can be cryptogenic. Most stroke cases are seen in patients over 65 years of age. However, about one-fourth of strokes occur in young adults. Iron deficiency anemia (IDA) has been described as a known cause for strokes in children, but very few case reports describe this association in adults. We describe a 20-year-old female who presented with sudden onset left side weakness. Magnetic Resonance Imaging (MRI) of the brain demonstrated ischemic infarctions. Patient was also found to be severely anemic. Patient had a thorough work-up including Magnetic Resonance Angiography (MRA) of the brain, echocardiogram, and an extensive screen for thrombophilia disorders. This, however, did not demonstrate a clear etiology. As it has been suggested that IDA is a potential cause for stroke, it is possible the stroke in this young patient was attributable to severe IDA.
当供应脑部某区域血流的动脉突然阻塞时，就会发生缺血性中风，导致局灶性神经功能缺损。中风在病因上可以是血栓形成性或栓塞性的，并且与诸如高血压和动脉粥样硬化等潜在疾病相关。中风的可能病因包括心源性栓塞疾病、血液系统疾病、结缔组织疾病以及药物滥用，或者可能是隐源性的。大多数中风病例见于65岁以上的患者。然而，约四分之一的中风发生在年轻人中。缺铁性贫血（IDA）已被描述为儿童中风的已知病因，但很少有病例报告描述成人中的这种关联。我们描述了一名20岁女性，她突然出现左侧肢体无力。脑部磁共振成像（MRI）显示有缺血性梗死。还发现该患者严重贫血。患者进行了全面检查，包括脑部磁共振血管造影（MRA）、超声心动图以及广泛的血栓形成倾向疾病筛查。然而，这并未显示出明确的病因。由于有人提出IDA是中风的一个潜在原因，所以这位年轻患者的中风有可能归因于严重的IDA。
