A Case of Ischemic Stroke in a Patient with Middle Cerebral Artery Stenosis and Iron Deficiency Anemia

Authors

  • T. Parvu University Emergency Hospital Bucharest, Romania
  • C. Coclitu University Emergency Hospital Bucharest, Romania
  • O. Rusu University Emergency Hospital Bucharest, Romania
  • A. Ciobotaru University Emergency Hospital Bucharest, Romania
  • A. Mergeani University Emergency Hospital Bucharest, Romania
  • O. Bajenaru University Emergency Hospital Bucharest, Romania and Carol Davila, University of Medicine and Pharmacy, Bucharest, Romania
  • F. A. Antochi University Emergency Hospital Bucharest, Romania

DOI:

https://doi.org/10.12974/2312-5411.2016.03.01.2

Keywords:

Anemia, cerebral ischemia, intracranial artery stenosis, stroke prevention, uterine fibromatosis.

Abstract

Recent studies showed that iron deficiency anemia was correlated with ischemic stroke in patients with carotid artery stenosis. It was also identified as the culprit of ischemic stroke in patients without any acknowledged risk factors for stroke. We presented a clinical case that highlights the importance of the management of anemia as etiologic factor of ischemic stroke, both as primary and secondary prevention. 

References

Chang YL, Hung SH, Ling W, et al. Association between ischemic stroke and iron-deficiency anemia: a populationbased study. PLoS One 2013; 8(12): e82952. http://dx.doi.org/10.1371/journal.pone.0082952

Naito H, Naka H, Kanaya Y, et al. Two cases of acute ischemic stroke associated with iron deficiency anemia due to bleeding from uterine fibroids in middle-aged women. Intern Med 2014; 53(21): 2533-7. http://dx.doi.org/10.2169/internalmedicine.53.2620

Steiger HJ and Nirkko A. Anemia-induced focal cerebral symptoms in carotid stenoses. Observations of pathophysiology. Schweiz Arch Neurol Psychiatr 1990; 141(6): 485-92.

Liebeskind DS, Cotsonis GA, Saver JL, et al. Collateral circulation in symptomatic intracranial atherosclerosis. J Cereb Blood Flow Metab 2011; 31(5): 1293-1301. http://dx.doi.org/10.1038/jcbfm.2010.224

Famakin BM, Chimowitz MI and Lynn MJ. Causes and Severity of Ischemic Stroke in Patients with Symptomatic Intracranial Arterial Stenosis. Stroke 2009; 40(6): 1999-2003. http://dx.doi.org/10.1161/STROKEAHA.108.546150

Yang J, Chen L, Chitkara N and Xu Q. A Markov model to compare the long-term effect of aspirin, clopidogrel and clopidogrel plus aspirinon prevention of recurrent ischemic stroke due to intracranial artery stenosis. Neurol India 2014; 62(1): 48-52. http://dx.doi.org/10.4103/0028-3886.128290

Chimowitz MI, Lynn MJ and Howlett-Smith H. Comparison of warfarin and aspirin for symptomatic intracranial arterial stenosis. N Engl J Med 2005; 352(13): 1305-16. http://dx.doi.org/10.1056/NEJMoa043033

Does the Stenting Versus Aggressive Medical Therapy Trial Support Stenting for Subgroups With Intracranial Stenosis? Lutsep HL, Lynn MJ, Cotsonis GA, Derdeyn CP, Turan TN, Fiorella D, Janis LS, Lane BF, Montgomery J, Chimowitz MI; SAMMPRIS Investigators. Stroke 2015; 46(11): 3282-4. http://dx.doi.org/10.1161/STROKEAHA.115.009846

Diagnosis and Treatment of Intracranial Stenoses. Reith W, Berkefeld J, Dietrich P, Fiehler J, Jansen O. Clin Neuroradiol 2015; 25(Suppl 2): 307-16.

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Published

2016-06-15

How to Cite

Parvu, T., Coclitu, C., Rusu, O., Ciobotaru, A., Mergeani, A., Bajenaru, O., & Antochi, F. A. (2016). A Case of Ischemic Stroke in a Patient with Middle Cerebral Artery Stenosis and Iron Deficiency Anemia. Journal of Hematology Research, 3(1), 6–9. https://doi.org/10.12974/2312-5411.2016.03.01.2

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Articles