[Ischemic stroke at a young age on the context of chronic myeloleukosis]
N V Isaeva1,2, P G Shnyakin1,2, G Yu Alekseevich2
1Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia.
Insights
A young patient experienced a severe ischemic stroke, later diagnosed as chronic myeloid leukemia. Non-compliance with medical advice complicated the diagnosis and led to severe health issues.
Area of Science:
- Hematology
- Neurology
- Internal Medicine
Background:
- Ischemic stroke in young adults is uncommon and warrants thorough investigation.
- Chronic myeloid leukemia (CML) is a myeloproliferative neoplasm that can present with thrombotic complications.
- Delayed diagnosis and treatment in CML can lead to significant morbidity.
Purpose of the Study:
- To detail the diagnostic challenges in a young patient presenting with ischemic stroke.
- To highlight the importance of patient compliance in managing chronic conditions like CML.
- To explore the link between CML and cerebrovascular events in young individuals.
Main Methods:
- Case report detailing clinical presentation, diagnostic workup, and treatment course.
- Review of medical literature on ischemic stroke in young patients and CML.
- Analysis of factors contributing to diagnostic delays and complications.
Main Results:
- A young patient developed a severe ischemic stroke.
- The underlying cause was identified as chronic myeloid leukemia.
- Lack of patient compliance significantly complicated the diagnostic process and led to severe comorbidities.
Conclusions:
- Ischemic stroke in the young necessitates a comprehensive diagnostic approach to rule out underlying hematological disorders like CML.
- Patient adherence to medical recommendations is crucial for effective management and prevention of complications in chronic diseases.
- Early detection and management of CML are vital to prevent severe sequelae such as stroke.
Abstract:
The article describes the clinical search for diagnosis and treatment of a patient who developed a severe ischemic stroke at a young age, when specifying the cause of which chronic myeloleucosis was identified. The unavailability of patient compliance and non-compliance with the recommended examination at the outpatient stage led to the development of severe complications. It would seem that the diagnosis of chronic myeloid leukemia, which does not represent excessive complexity, with the development of an acute condition in a young patient, such as an ischemic stroke, results in a complex diagnostic search, complicated by developing comorbidities due to general decompensation of the body.
