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Sudden Hemiplegia in a young patient
J V Krishnaswami1, S Kar-Purkayastha
1Department of Medicine, Bassetlaw General Hospital, Worksop, Nottinghamshire, S81 0BD.
Acute Medicine
|June 10, 2011
Summary
Younger patients experiencing stroke may have unique causes, such as internal carotid artery dissection. This case highlights a link between spontaneous carotid artery dissection and elevated homocysteine levels in a young adult.
Area of Science:
- Neurology
- Vascular Medicine
- Biochemistry
Background:
- Stroke incidence increases with age, but younger individuals can also experience strokes.
- Internal carotid artery dissection is a significant cause of stroke in younger populations, accounting for approximately 20% of cases.
- Previous research suggests a potential association between elevated plasma homocysteine and stroke.
Purpose of the Study:
- To investigate the causes of stroke in younger patients.
- To report a case of spontaneous internal carotid artery dissection in a young adult.
- To explore the association between internal carotid artery dissection and plasma homocysteine levels.
Main Methods:
- Case report of a 22-year-old male patient.
- Clinical investigation for stroke etiology.
- Biochemical analysis of plasma homocysteine levels.
Main Results:
- The patient, a previously healthy 22-year-old man, presented with spontaneous internal carotid artery dissection.
- Elevated plasma homocysteine levels were detected in the patient.
- Internal carotid artery dissection was identified as the cause of stroke.
Conclusions:
- Spontaneous internal carotid artery dissection can occur in young, healthy individuals.
- Elevated plasma homocysteine may be associated with internal carotid artery dissection in young stroke patients.
- Thorough investigation is crucial for identifying stroke causes in younger populations.
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