Neurol Case Rep | Volume 2, Issue 2 | Case Report | Open Access

Hyperhomocysteinemia, Helicobacter pylori Infection and Recurrent In-Stent Thrombosis: a Case Report

Ian Shih1,3, Feng-Chi Chang2,3 and Li-Chi Hsu3,4*

1Department of Neurology, Cheng-Ching Hospital Chung-Kang Branch, Taiwan2Department of Radiology, Veterans General Hospital-Taipei, Taiwan3Department of Neurology, National Yang-Ming University School of Medicine, Taiwan4Department of Neurology, Neurological Institute, Veterans General Hospital-Taipei, Taiwan

*Correspondance to: Li-Chi Hsu 

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Abstract

Hypercoagulability might be associated with in-stent thrombosis. Here we reported a case of hyperhomocyeteinemia with recurrent in-stent thrombosis. A 35-year-old male was admitted to our hospital because of 4 episodes of transient right upper extremity weakness, numbness and dysarthria. Severe arterial stenosis was noted over the M1 segment of the left middle cerebral artery. Intracranial stenting was done immediately. Acute (1 day) and subacute (5 days) in-stent thrombosis was noted after the procedure. Search for hypercoagulable state revealed elevated homocysteine level and incidental Helicobacter pylori infection. The patient’s condition was stabilized after proper management.

Keywords:

Keywords: Angioplasty and stenting; Helicobacter pylori; Hyperhomocyeteinemia; Stroke

Citation:

Shih I, Chang F-C, Hsu L-C. Hyperhomocysteinemia, Helicobacter pylori Infection and Recurrent In-Stent Thrombosis: a Case Report. Neurol Case Rep. 2019; 2(2): 1011 .

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