What is included in the evaluation of posterior cerebral artery (PCA) stroke in persons younger than 50 years?

Updated: Jul 30, 2018
  • Author: Erek K Helseth, MD; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

Strokes occurring in persons younger than 50 years require investigation for etiologies such as cardiac defects (patent foramen ovale), thrombophilia or hypercoagulable state (protein S or C or antithrombin III deficiency, activated protein C resistance, G20210A prothrombin mutation), arterial dissection, connective-tissue autoimmune disorders (antiphospholipid syndrome), and malignancy.

Identification of other stroke risk factors, including hypertension, diabetes, elevated cholesterol and lipid panels, and hyperhomocysteinemia, is also useful.

Evaluate patient's swallow function so that diet can be modified appropriately and aspiration pneumonia avoided.


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