Hyperhomocysteinemia Presenting as Stroke in a Young Individual: A Case Report.
| Autor: | Rafay A; Internal Medicine, Ameer-ud-din Medical College/Lahore General Hospital, Lahore, PAK.; Trauma and Orthopaedics, Our Lady's Hospital, Navan, IRL., Abdul Fatir C; Ophthalmology, Lahore General Hospital, Lahore, PAK., Hiba HT; Internal Medicine, Lahore General Hospital, Lahore, PAK., Jamil M; Psychology, Rawalpindi Medical University, Rawalpindi, PAK., Talha Awan M; Emergency Medicine, Yeovil District General Hospital, Yeovil, GBR. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Jan 16; Vol. 16 (1), pp. e52381. Date of Electronic Publication: 2024 Jan 16 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.52381 |
| Abstrakt: | This case report details the sudden onset of an ischemic stroke in a man in his late 20s, attributed to elevated homocysteine levels. Despite his young age, the patient exhibited increased homocysteine levels, a recognized stroke risk factor. This report underscores the critical importance of recognizing hyperhomocysteinemia as a potential underlying cause of strokes, even in younger age groups. Following ischemic stroke-directed treatment along with the addition of folic acid, vitamin B6, vitamin B12, and methylcobalamin, the patient's condition improved, leading to discharge with normalized homocysteine levels. Highlighting the significance of identifying this risk factor is particularly essential in regions like Pakistan, where a notably high prevalence of hyperhomocysteinemia has been reported. This case serves as a poignant reminder of the need for comprehensive stroke evaluations, urging medical practitioners to consider homocysteine as a potential contributing factor, even when dealing with young and healthy patients. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Rafay et al.) |
| Databáze: | MEDLINE |
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