Stroke in an adolescent girl - combined Primary Anti phospholipid syndrome and Hyperhomocysteinemia - case report

Stroke remains a major cause of mortality and morbidity worldwide. Stroke in young persons can be devastating in terms of productive years lost and impact on a young persons life. The diagnosis of stroke in children and young adults can be difficult and the cause of ischemic stroke often remains unexplained, even after extensive evaluation. Here we present a case of ischemic stroke with right hemiparesis and aphasia in a 17-year adolescent girl. On evaluation of the patient, we concluded that Primary Anti phospholipid syndrome (APS) and Hyperhomocysteinemia accounts for the etiology for our patient. She had been started on anticoagulants and antithrombotics which she responded well to the treatment. She is on further follow up. This case is presented for the combined presentation of Primary Anti phospholipid syndrome and Hyperhomocysteinemia as ischemic stroke in young adolescent girl