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Demartini Z, Furtado Neves PJ, Carmo ALSD, Antoniuk S, Bufara DC, Prestes ACB, Rodrigues MD LB, Araujo LZ, Cardoso-Demartini A. Angiopathy and Stroke Associated with Homocystinuria in Childhood. Vasc Endovascular Surg 2022; 57:417-419. [PMID: 36495244 DOI: 10.1177/15385744221144978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
A previously healthy 13 year-old boy presented with acute-onset headaches, aphasia and right-sided hemiparesis. Imaging showed cerebral ischemic infarction due to bilateral carotid occlusion, and investigation for stroke etiology diagnosed homocystinuria. Homocystinuria is an autosomal recessive condition that affects the metabolism of the amino acid methionine due to an enzyme deficiency. This disorder involves multiple organs systems, and complications include thromboembolic events, ectopia lentis, mental retardation, and skeletal abnormalities. The early diagnosis and treatment of hyperhomocystinemia can significantly improve outcomes. Therefore, metabolic screening for homocystinuria is strongly recommended for children presenting with stroke.
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Affiliation(s)
- Zeferino Demartini
- Department of Neurosurgery, Universidade Federal do Parana Hospital de Clinicas, Curitiba, PR, Brazil
| | - Pedro Juan Furtado Neves
- Department of Vascular Surgery, Universidade Federal do Parana Hospital de Clinicas, Curitiba, PR, Brazil
| | | | - Sergio Antoniuk
- Department of Pediatrics, Universidade Federal do Parana Hospital de Clinicas, Curitiba, PR, Brazil
| | - Danielle Caldas Bufara
- Department of Pediatrics, Universidade Federal do Parana Hospital de Clinicas, Curitiba, PR, Brazil
| | | | | | - Laura Ziemba Araujo
- Department of Vascular Surgery, Universidade Federal do Parana Hospital de Clinicas, Curitiba, PR, Brazil
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