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Neurology

Question
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Most common cause of stroke in young women in India among

OCP users: (PGI Nov 2010)



A Cortical vein thrombosis
B Moyamoya disease

C Atherosclerosis
D HT

Ans. A

Cortical vein thrombosis

Causes of Stroke (Ref. Hari-18th ed., pg- 3276)

Young Stroke – Stroke in age group < 40years. Important causes

Important causes

Cardiac

Hematological

Conn. tissue diseases

LA thrombus

Sickle cell anemia

SLE

Myxoma

Polycythemia

Wegener’s

Paradoxical embolism

TTP

RA

Infective endocarditis

Thrombocytopenia

Scleroderma

Marantic endocarditis

Multiple myeloma

Takayasu

Dilated cardiomyopathy

Protein C/S deficiency

Syphilis

Note: Most common cause of stroke in young women in India among OCP users isCortical vein thrombosis

Miscellaneous causes

1). Pregnancy

2). Oral contraceptives

3). Nephrotic syndrome

4). Drugs – Cocaine, Amphetamine

5). Infections – TB, Mucormycosis

Table 370-5 Risk of Stroke Following TIA: The Abcd2 Score (Ref. Hari-18th ed., pg- 3280)

Clinical Factor

Score

A: Age ≥ 60 years

1

B: SBP >140 mm Hg or DBP >90 mm Hg

1

C: Clinical symptoms

Unilateral weakness

2

Speech disturbance without weakness

1

D: TIA Duration

>60 minutes

2

10–59 minutes

1

D: Diabetes (oral medications or insulin)

1

Total Score 7

More the ABCD2 Score more is the likely of 3-Month Rate of Stroke (%)a

Neurology Flashcard List

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