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Rehabilitation Practice and Science

Translated Title

高類胱胺酸血症合併再發性缺血性腦中風：病例報告暨文獻回顧

Abstract

Cerebrovascular disease (CVD) is a major cause of death in our country. The major risk factors of CVD include old age, hypertension, diabetic mellitus, previous stroke and transient ischemic attack. In recent years, homocysteinemia has been recognized as an independent risk factor of different vascular occlusive diseases, such as CVD and peripheral vascular disease.We reported a 56-year-old man with chronic renal insufficiency who had coronary arterial disease and recurrent ischemic stroke. The risk factors included hypertension, hyperlipidemia, hyperurinemia and previous CVD were identified in this patient. Anticardiolipin antibody and homocysteine were examined in this patient owning to frequent episodes of thrombosis. Homocysteinemia was diagnosed and supplement of vitamin B6, B12 and folate were prescribed. The pathogenesis of homocysteinemia and artherosclerosis were summarized. The relationship of homocysteinemia and thrombotic diseases were also reviewed. Finally, the current therapeutic regimen for homocysteinemia was introduced.

Language

Traditional Chinese

First Page

41

Last Page

47

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