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medication – related stroke

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Chapter 4.1 - Medication-Related Stroke
from 4 - Drug-Related Stroke
- By Francesca Romana Pezzella, Sabrina Anticoli, Antonella Urso
Edited by Derya Uluduz, Istanbul Üniversitesi
Anita Arsovska
Book:

Rare Causes of Stroke

Published online:

06 October 2022

Print publication:

01 September 2022, pp 185-189
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Summary

A 53-year-old woman, with no vascular risk factors or significant previous medical history experienced first ischemic stroke and was successfully treated with thrombolysis. A thorough diagnostic work-up and long term follow up did not reveal any cardiovascular condition, the patient had been on hormone replacement therapy for 7 years at the time of the cerebrovascular accident. Effect of hormone replacement therapy and the role of other commonly prescribed drugs on the stroke burden risk are briefly discussed. Individualized therapeutic plan balancing risks, benefits, comorbidities and patients choice is recommended to reduce stroke burden especially in patients needing polytherapy