Iron-Deficiency Anemia Leading to Transient Ischemic Attacks due to Intraluminal Carotid Artery Thrombus

Reactive thrombocytosis secondary to iron-deficiency anemia (IDA) is a rare but recognized cause of stroke. We report the case of a patient with iron-deficiency anemia presenting with multiple transient ischemic attacks (TIA) due to intraluminal thrombus of an internal carotid artery. The putative m...

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Main Authors: H. Z. Batur Caglayan, B. Nazliel, C. Irkec, A. Dumlu, A. Filiz, M. Panpalli Ates
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2013/813415
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author H. Z. Batur Caglayan
B. Nazliel
C. Irkec
A. Dumlu
A. Filiz
M. Panpalli Ates
author_facet H. Z. Batur Caglayan
B. Nazliel
C. Irkec
A. Dumlu
A. Filiz
M. Panpalli Ates
author_sort H. Z. Batur Caglayan
collection DOAJ
description Reactive thrombocytosis secondary to iron-deficiency anemia (IDA) is a rare but recognized cause of stroke. We report the case of a patient with iron-deficiency anemia presenting with multiple transient ischemic attacks (TIA) due to intraluminal thrombus of an internal carotid artery. The putative mechanisms underlying anemia and stroke syndromes are not completely understood, and it is believed that iron deficiency may cause ischemic stroke by several potential mechanisms. Thrombocytosis is often associated with iron deficiency, and microcytosis produces a reduction in the red cell deformability and could produce a hypercoagulable state. The platelet count and function observed in iron-deficiency anemia could act synergistically to promote thrombus formation, especially in the setting of an underlying atherosclerotic disease. The presence of floating thrombus in a patient with clinical and MRI evidence of stroke represents a significant therapeutic dilemma and requires immediate decision about treatment.
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language English
publishDate 2013-01-01
publisher Wiley
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series Case Reports in Neurological Medicine
spelling doaj-art-708adf26c49149f084d35c6eccb7ab772025-08-20T02:06:47ZengWileyCase Reports in Neurological Medicine2090-66682090-66762013-01-01201310.1155/2013/813415813415Iron-Deficiency Anemia Leading to Transient Ischemic Attacks due to Intraluminal Carotid Artery ThrombusH. Z. Batur Caglayan0B. Nazliel1C. Irkec2A. Dumlu3A. Filiz4M. Panpalli Ates5Department of Neurology, Faculty of Medicine, Gazi University, Besevler, 06500 Ankara, TurkeyDepartment of Neurology, Faculty of Medicine, Gazi University, Besevler, 06500 Ankara, TurkeyDepartment of Neurology, Faculty of Medicine, Gazi University, Besevler, 06500 Ankara, TurkeyDepartment of Neurology, Tokat State Hospital, 60100 Tokat, TurkeyDepartment of Neurology, Ankara Education and Research Hospital, 06340 Ankara, TurkeyDepartment of Neurology, Faculty of Medicine, Gazi University, Besevler, 06500 Ankara, TurkeyReactive thrombocytosis secondary to iron-deficiency anemia (IDA) is a rare but recognized cause of stroke. We report the case of a patient with iron-deficiency anemia presenting with multiple transient ischemic attacks (TIA) due to intraluminal thrombus of an internal carotid artery. The putative mechanisms underlying anemia and stroke syndromes are not completely understood, and it is believed that iron deficiency may cause ischemic stroke by several potential mechanisms. Thrombocytosis is often associated with iron deficiency, and microcytosis produces a reduction in the red cell deformability and could produce a hypercoagulable state. The platelet count and function observed in iron-deficiency anemia could act synergistically to promote thrombus formation, especially in the setting of an underlying atherosclerotic disease. The presence of floating thrombus in a patient with clinical and MRI evidence of stroke represents a significant therapeutic dilemma and requires immediate decision about treatment.http://dx.doi.org/10.1155/2013/813415
spellingShingle H. Z. Batur Caglayan
B. Nazliel
C. Irkec
A. Dumlu
A. Filiz
M. Panpalli Ates
Iron-Deficiency Anemia Leading to Transient Ischemic Attacks due to Intraluminal Carotid Artery Thrombus
Case Reports in Neurological Medicine
title Iron-Deficiency Anemia Leading to Transient Ischemic Attacks due to Intraluminal Carotid Artery Thrombus
title_full Iron-Deficiency Anemia Leading to Transient Ischemic Attacks due to Intraluminal Carotid Artery Thrombus
title_fullStr Iron-Deficiency Anemia Leading to Transient Ischemic Attacks due to Intraluminal Carotid Artery Thrombus
title_full_unstemmed Iron-Deficiency Anemia Leading to Transient Ischemic Attacks due to Intraluminal Carotid Artery Thrombus
title_short Iron-Deficiency Anemia Leading to Transient Ischemic Attacks due to Intraluminal Carotid Artery Thrombus
title_sort iron deficiency anemia leading to transient ischemic attacks due to intraluminal carotid artery thrombus
url http://dx.doi.org/10.1155/2013/813415
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