We report the case of a 48-year-old female patient with stroke family history that was admitted in our ward with suspected ischemic stroke diagnosis. The diagnostic process is described in detail, paying attention in particular to anamnestic data and to genetic polymorphisms related to higher risk for inherited thrombophilia. At the end, the diagnosis indicates red infarct in a migraine patient with cerebrovascular and cardiovascular risk factors of undetermined aetiology according to TOAST criteria. Some of the known thrombophilic polymorphisms were found in the patient: however not all the mentioned thrombophilic markers are universally recognized as predisposing factors for arterial ischemic stroke.
(1) UOC di Neurologia, Ospedale Sant’Ottone Frangipane, ASL Avellino, Ariano Irpino
(2) Laboratorio di Genetica Medica, Ospedale Moscati, Avellino
(3) Responsabile UOS Diagnostica Cardiologica, Ospedale Sant’Ottone Frangipane, ASL Avellino
(4) Direttore Servizio di Emotrasfusione, Ospedale Sant’Ottone Frangipane, ASL Avellino, Ariano Irpino
(5) Direttore UOC Radiologia, Ospedale Criscuoli, ASL Avellino, Sant’Angelo dei Lombardi
(6) Direttore Distretto Sanitario di Mirabella, ASL Avellino, Mirabella Eclano
(7) Direttore UOC di Neurologia, ASL Avellino, Ariano Irpino