Paradoxical Cerebral Embolism in a Young Patient: A case report.
- Author:
Hee Dea LEE
1
;
Duk Hyun SUNG
Author Information
1. Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University College of Medicine, Korea. fallopin@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Paradoxical embolism;
Cerebral infarct;
Deep vein thrombosis;
Protein S deficiency syndrome
- MeSH:
Cerebral Infarction;
Embolism, Paradoxical;
Foramen Ovale, Patent;
Hemiplegia;
Humans;
Intracranial Embolism*;
Lower Extremity;
Muscle Spasticity;
Protein S Deficiency;
Pulmonary Embolism;
Risk Factors;
Stroke;
Upper Extremity;
Upper Extremity Deep Vein Thrombosis;
Veins;
Vena Cava Filters;
Venous Thrombosis;
Warfarin
- From:Journal of the Korean Academy of Rehabilitation Medicine
2005;29(5):527-530
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Seventeen years old man was diagnosed as left calf varicous vein and deep vein thrombosis on the same area. Three years later the patient visited for the exasperated swelling but had no sufficient warfarin therapy. At the age of 24, the patient had abrupt onset of left hemiplegia. Risk factor was monitored and patent foramen ovale and protein S deficiency were diagnosed. Simultaneously pulmonary embolism was detected and inferior vena cava filter was inserted. Nine months later from stroke, the patient had several times neurolysis on left lower extremity for spasticity. But after three days from last neurolysis we detected aggravation of lower extremity and left upper extremity swelling. He continued anticoagulation therapy. We reported a young patient with cerebral infarction by the mechanism of paradoxical embolism and upper extremity deep vein thrombosis in the lack of anticoagulation medication.
