Open Access Peer-reviewed

In Front of Ischemic Stroke: Think about Pernicious Anemia

Ines Kechaou1,, Eya Cherif1, Imene Boukhris1, Samira Azzabi1, Chékib Kooli1, Lamia Ben Hassine1, Narjes Khalfallah1

1Internal Medicine Department, University hospital of Charles Nicolle, Tunis, Tunisia

American Journal of Medical Case Reports. 2016, 4(5), 158-159. DOI: 10.12691/ajmcr-4-5-3
Published online: August 25, 2017

Abstract

Pernicious anemia can cause several neurologic impairment. Ischemic stroke has been reported as a rare complication of pernicious anemia. We report a case of 51-year-old woman, who presented with ischemic stroke. Hyperhomocysteinemia due to pernicious anemia was diagnosed while looking for secondary causes of the cerebral event. She was treated with vitamin B12 that improved her anemia but not her neurological impairment.

Keywords:

pernicious anemia, stroke, vitamine B12, homocysteine
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