Article
Recurrent small-artery disease in hyperhomocysteinemia: widowers' stroke syndrome?
Internal medicine (Tokyo, Japan) - 1 Sept 2004
Toyoda Kazunori, Uwatoko Takeshi, Shimada Toshifumi, Hagiwara Noriko, Fujimoto Shigeru, Ibayashi Setsuro, Okada Yasushi
Abstract excerpt
Hyperhomocysteinemia is thought to cause ischemic strokes. We report two middle-aged widowers with frequent recurrences of small-artery strokes, two capsular infarcts and a thalamic hemorrhage in one patient, and two thalamic and pontine infarcts in the other. Blood tests following the final stroke showed hyperhomocysteinemia and methylenetetrahydrofolate reductase C677T gene mutation, with low concentration of...
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