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.
Capillary telangiectasias represent one of the four types of brainstem vascular malformations, characterized by multiple thin-walled vascular channels, interposed between normal brain parenchyma of unknown etiology. They are most of the time an incidental radiologic finding, almost all patients being asymptomatic. We present the case of a 65 years old male, admitted to our clinic for recurrent episodes of horizontal diplopia to lateral gaze on the left side, dizziness and unsteadiness of gait. The cerebral MRI showed imaging features characteristic for capillary telangiectasias in the brainstem and the cerebral angiography was normal.
Sick sinus syndrome represent one of the cardiac arrhythmias which may cause ischemic stroke by hemodynamic or thrombo-embolic mechanism, often these two mechanisms coexist and potentiate each other. We present the case of the 65 years old male admitted to our clinic for an acute ischemic stoke in the right carotid territory. The Doppler ultrasonography of the cervico-cerebral arteries performed the next day after the admission showed occlusion of the right internal carotid artery. The patient was transferred to the cardiology clinic where he underwent a DDDR pace-maker implantation. The ultrasonographical exam performed one week later showed repermeabilisation of the right internal carotid artery.
Spontaneous intracranial internal carotid artery dissection is an uncommon cause of cerebral infarction, particularly when compared to internal carotid artery dissection in the cervical portion. Although thromboembolism is supposed to be the main stroke mechanism in ICA dissection, haemodynamic change can also play an important role, especially in cases of intracranial dissection. We present the case of a 64-years-old female with no medical history and no signs of trauma who was admitted to our clinic for a cerebral ischemic stroke due to dissection of the left internal carotid artery in its intracranial part.
Progressive facial hemiatrophy or Romberg syndrome, is a sporadic disease of unknown etiology characterized by progressive and self limited shrinking and deformation of one hemiface accompanied by various neurologic complication, including trigeminal neuralgia. We present the case of a 31-year-old Caucasian female with exacerbation of a left trigeminal neuralgia two weeks after a dental extraction. The severe pain was due to osteitis of the left mandible and a fracture through the 38 alveola. After removing the necrotic tissue and mandibulo-maxilary fixation the evolution was favorable with no signs of infection or wound dehiscence and the symptoms of pain were relieved.
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