Stroke secondary to carotid occlusion in a young man with nephrotic syndrome: Case description and review of the literature.
We report a case of hemispheric stroke and death secondary to thrombosis of the internal carotid artery in a young adult with minimal-change nephrotic syndrome. Thrombotic complications are common in patients with nephrotic syndrome and may be due to a hypercoagulable state. To our knowledge, this is the first report of cerebral infarction due to thrombosis in the extracranial vasculature in a patient with nephrotic syndrome. We review previous reports of cerebral infarction in association with nephrotic syndrome and discuss possible mechanisms of hypercoagulability in this setting.
From the Department of Neurology, The Mount Sinai School of Medicine, New York, NY, U.S.A.
D R
DR
Horowitz
From the Department of Neurology, The Mount Sinai School of Medicine, New York, NY, U.S.A.
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S
Tuhrim
The Department of Medicine (Hematology), The Mount Sinai School of Medicine, New York, NY, U.S.A.
J H
JH
Rand
The Department of Pathology, The Mount Sinai School of Medicine, New York, NY, U.S.A.
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PO
Danque