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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893


PESCADOR RUSCHEL, Marco Antonio  and  CHAMORRO VERA, Lourdes Isabel. Ischemic stroke in a young adult. Rev. virtual Soc. Parag. Med. Int. [online]. 2021, vol.8, n.1, pp.167-172. ISSN 2312-3893.

We present the case of a 39-year-old man with a history of several transient ischemic attacks that always resolved quickly and spontaneously. He underwent several cardiovascular, neurovascular, and neuro and angioimaging studies that were normal. The patient presented for consultation with a right faciobrachial paresis and dysarthria. However, the condition subsided within hours despite ischemia manifested in neurovascular studies. For all the above, it was decided to study thrombophilias, finding the prothrombin G20210A mutation. Upon discharge, on treatment with oral anticoagulants, the patient is asymptomatic with continuous monthly monitoring.

Keywords : thrombophilia; G2021A; transient ischemic attack; prothrombin; cerebrovascular accident.

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