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Case Reports in Neurological Medicine
Volume 2019, Article ID 8647126, 5 pages
https://doi.org/10.1155/2019/8647126
Case Report

Cerebral Ischemia due to Aortic Arch Thrombosis Secondary to Iron Deficiency Anemia

Department of Neurology, Rutgers New Jersey Medical School, Newark, New Jersey, USA

Correspondence should be addressed to Taha Nisar; moc.liamtoh@rasinahat

Received 15 April 2019; Accepted 2 July 2019; Published 18 July 2019

Academic Editor: Samuel T. Gontkovsky

Copyright © 2019 Taha Nisar and Rajanigandhi Hanumanthu. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Thrombocytosis, hypercoagulable state, and hypoxia secondary to anemia are some of the mechanisms that are thought to cause strokes in patients with iron deficiency anemia (IDA). Several cases of middle-aged females with IDA who had embolic strokes due to aortic arch thrombosis have been reported. Majority of the cases were treated with anticoagulation. We report another case of embolic strokes in a patient with IDA treated with anticoagulation and iron replacement without recurrence of further episodes. We concluded that embolic phenomenon in middle-aged females with IDA warrants transesophageal echocardiogram with an evaluation of aortic arch.