Author/Authors :
Ghabaee, Mojdeh tehran university of medical sciences tums - Imam Khomeini Hospital - Iranian Center of Neurological Research, تهران, ايران , Bayati, Asghar tehran university of medical sciences tums - Imam Khomeini Hospital - Iranian Center of Neurological Research, تهران, ايران , Ghoreishi, Abdoreza tehran university of medical sciences tums - Imam Khomeini Hospital - Iranian Center of Neurological Research, تهران, ايران , Ghaffarpour, Majid tehran university of medical sciences tums - Imam Khomeini Hospital - Iranian Center of Neurological Research, تهران, ايران
Abstract :
Introduction: Homocysteimemia has been associated with increased risk forcerebralvasuclar disease and recurrent stroke. Homocysteinmia has primaryatherogenic and prothrombotic properties. It can lead to both venous and arterialthrombosis by several mechanisms. We present a 45 years old female patient withhyperhomocysteinemia and past medical history of epilepsy, two strokes like attacks,livedo reticularis and a new ischemic stroke. Risk factors such as hypertension,diabetes, ischemic heart disease and hyperlipidemia were all absent.Hypercoagulation and vasculities tests were normal. Livedoretiularis was the clue inthis patient that led us to consider homocysteinemia as the most probable diagnosis.This suggests that considering skin lesions in juvenile stroke may help to limit thedifferential diagnosis and treat the etiologic factor more rapidly.
