J Korean Neurol Assoc.  2016 Feb;34(1):41-44. 10.17340/jkna.2016.1.7.

A Recurrent Ischemic Stroke Stabilization after Using Non-Vitamin K Antagonist Oral Anticoagulant (NOAC)

Affiliations
  • 1Department of Neurology, Veterans Health Service Medical Center, Seoul, Korea. hippocam@naver.com

Abstract

Current stroke guidelines recommend the administration of non-vitamin-K-antagonist oral anticoagulant (NOAC) for the prevention of cardioembolic stroke induced by nonvalvular atrial fibrillation. We report a patient who suffered from recurrent posterior circulation strokes-occurring eight times in 4 months-even under adequate antiplatelet medication. Changing the medication from antiplatelet agents to NOAC stopped the stroke recurrence. We suggest that NOAC has a role in the prevention of recurrent stroke of undetermined etiology in the posterior circulation.

Keyword

Recurrent stroke; Non-vitamin-K-antagonist oral anticoagulant

MeSH Terms

Atrial Fibrillation
Humans
Platelet Aggregation Inhibitors
Recurrence
Stroke*
Platelet Aggregation Inhibitors
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