Yu Mimura1,2, Yusuke Shimizu3,4, Hiroki Oi3,4, Shin Kurose3,4, Shun Kudo3,4, Taketo Takata3,4, Masaru Mimura4, Michitaka Funayama3,4. 1. Department of Neuropsychiatry, Japanese Red Cross Ashikaga Hospital, 49-1 Yobe-Cho, Ashikaga-shi, Tochigi, 326-0843, Japan. yu.mimura@keio.jp. 2. Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan. yu.mimura@keio.jp. 3. Department of Neuropsychiatry, Japanese Red Cross Ashikaga Hospital, 49-1 Yobe-Cho, Ashikaga-shi, Tochigi, 326-0843, Japan. 4. Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Abstract
BACKGROUND: Numerous reports have indicated that patients with anorexia nervosa (AN) are at a relatively high risk of developing vascular diseases, including cardiovascular events and venous thromboembolism. However, there have been no previous reports of the development of ischemic stroke during refeeding therapy in patients with severe AN. This report is aimed at reporting the characteristics of an ischemic stroke in patients with AN. CASE PRESENTATIONS: Our study included 29 admissions by independent 19 female patients cases (19 patients), who received thorough medical, neurological, and psychiatric examinations. Two patients were diagnosed as having developed ischemic stroke; the first patient showed multiple infarctions in the brain, while the second showed symptomatic focal infarction. Our findings suggest that dehydration and arteriosclerosis, in association with severe malnutrition, could predispose to the development of ischemic stroke in patients with severe AN. CONCLUSIONS: Development of ischemic stroke in patients with AN might be overlooked. Watching out for neurological signs would help in early diagnosis of ischemic stroke in patients with AN during refeeding. Specific etiology could induce ischemic stroke in patients with AN even if they have no common risk factors of ischemia.
BACKGROUND: Numerous reports have indicated that patients with anorexia nervosa (AN) are at a relatively high risk of developing vascular diseases, including cardiovascular events and venous thromboembolism. However, there have been no previous reports of the development of ischemic stroke during refeeding therapy in patients with severe AN. This report is aimed at reporting the characteristics of an ischemic stroke in patients with AN. CASE PRESENTATIONS: Our study included 29 admissions by independent 19 female patients cases (19 patients), who received thorough medical, neurological, and psychiatric examinations. Two patients were diagnosed as having developed ischemic stroke; the first patient showed multiple infarctions in the brain, while the second showed symptomatic focal infarction. Our findings suggest that dehydration and arteriosclerosis, in association with severe malnutrition, could predispose to the development of ischemic stroke in patients with severe AN. CONCLUSIONS: Development of ischemic stroke in patients with AN might be overlooked. Watching out for neurological signs would help in early diagnosis of ischemic stroke in patients with AN during refeeding. Specific etiology could induce ischemic stroke in patients with AN even if they have no common risk factors of ischemia.
Authors: Ingrid Tonhajzerova; Andrea Mestanikova; Alexander Jurko; Marian Grendar; Peter Langer; Igor Ondrejka; Tomas Jurko; Igor Hrtanek; Dana Cesnekova; Michal Mestanik Journal: Appl Physiol Nutr Metab Date: 2019-06-04 Impact factor: 2.665