J Korean Neurol Assoc.  1998 Feb;16(1):63-66.

MCA Territorial Infarction With Iron Deficiency Anemia and Thrombocytosis

Affiliations
  • 1Department of Neurology, Hallym University College of Medicine.

Abstract

BACKGROUND: As a complication of iron deficiency anemia, only a few cases of the infarction involving major cerebral artery territory area have been reported. Although the reactive thrombocytosis secondary to iron-deficiency anemia may be suggested as a cause, the exact mechanism is unclear. Until now, the sole possible level of thrombocytosis associated with iron deficiency anemia for cerebrovascular accident has been reported as more than 8.0 x 105/mm3. Case Description : We present a case of young woman with mild reactive thrombocytosis(5.95 x 105/mm3) secondary to iron deficiency anemia who developed left middle cerebral artery territorial infarction. We did not find any other precipitating factors despite of all possible etiological evaluations including cerebral angiography. After the treatment of iron supplement and antiplatelet agent, the recovery was relatively good and no definite neurological deficits were remained.
CONCLUSION
We suggest that this large territorial infarction might be related to the severe iron deficiency anemia and the reactive thrombocytosis associated with iron deficiency anemia and the correction of anemia and antiplatelet therapy is a reasonable approach.


MeSH Terms

Anemia
Anemia, Iron-Deficiency*
Cerebral Angiography
Cerebral Arteries
Female
Humans
Infarction*
Iron*
Middle Cerebral Artery
Precipitating Factors
Stroke
Thrombocytosis*
Iron
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