Risk factors of ischemic stroke/transient ischemic attack in young women: A case report

Elmira  Mamytova; Aliya  Kadyrova; Dzhamalbek  Turgumbaev; Emir  Zholdoshev; Yethindra Vityala; Tugolbai  Tagaev

doi:10.51248/.v41i1.555

Authors

Elmira Mamytova
Aliya Kadyrova
Dzhamalbek Turgumbaev
Emir Zholdoshev
Yethindra Vityala
Tugolbai Tagaev

DOI:

https://doi.org/10.51248/.v41i1.555

Keywords:

Lacunar stroke, ischemic stroke, oral contraceptive, circle of Willis, hypoplasia

Abstract

This case report aims to demonstrate the clinical significance of the left internal carotid artery (ICA) hypoplasia in a young woman who received a combined oral contraceptive (COC) and its association with arterial occlusion and the development of a lacunar stroke/lacunar cerebral infarct (LACI). Brain magnetic resonance imaging (MRI) of the left frontal lobe revealed multiple subcortical and periventricular amplification/ischemia foci (49.0×17.0 mm), and lacunar infarct loci (2.0×4.0 mm). Brain magnetic resonance angiography revealed a markedly narrowed lumen of the left ICA (2.0–3.0 mm). MRI diffusion-weighted imaging-fluid attenuated inversion recovery revealed a moderate diffuse wall thickening and reinforcement of the left ICA. The patient was diagnosed with LACI and congenital hypoplasia of the left ICA and underwent antiplatelet drug therapy (aspirin - 100 mg) and a complete withdrawal of COC. A full amelioration of neurological symptoms was observed after one month of treatment.

Author Biographies

Elmira Mamytova

A.N. Murzaliev Department of Neurology and Clinical Genetics, I.K.Akhunbaev Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan

Aliya Kadyrova

Department of Radiology, I.K. Akhunbaev Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan

Dzhamalbek Turgumbaev

Department of Neurology, Neurosurgery and Psychiatry, S.B. Daniyarov Kyrgyz State Medical Institute for Retraining and Advanced Studies, Bishkek, Kyrgyzstan

Emir Zholdoshev

Department of Pathology, International Higher School of Medicine, International University of Kyrgyzstan, Bishkek, Kyrgyzstan

Yethindra Vityala

Department of Pathology, International Higher School of Medicine, International University of Kyrgyzstan, Bishkek, Kyrgyzstan

Tugolbai Tagaev

Department of Hospital Internal Medicine, Occupational Pathology with a Course of Hematology, I.K. Akhunbaev Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan

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