Hyperhomocysteinemia as a cause of premature stroke in a young patient

Archives of Physical Medicine and Rehabilitation
J G Ray, D T Harvey

Abstract

A case is presented of a woman who had an occlusive stroke at age 29. She was seen in a rehabilitation medicine clinic for central nervous system-mediated pain that had developed soon after a cerebrovascular event. After an extensive workup to find the cause of her cerebrovascular occlusion, it was discovered that she had a markedly elevated fasting plasma homocysteine level of 59 micromol/L. A discussion of premature vascular disease in the rehabilitation patient is followed by a short review of the clinical detection of, and potential therapy for, hyperhomocysteinemia.

References

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Citations

May 22, 2010·Stroke; a Journal of Cerebral Circulation·David Della-MorteRalph L Sacco
Aug 6, 2000·Stroke; a Journal of Cerebral Circulation·M M El Kossi, M M Zakhary
Aug 28, 2002·The Annals of Pharmacotherapy·Yael HavivDavid Olchovsky

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