Hyperhomocysteiniemia leading to ischemic stroke in a 32 year old male

ABSTRACT

Homocysteinemia is an independent risk factor for stroke. It may be inherited or acquired. Low B12 and folate levels are associated with hyperhomocysteinemia. We report a case of a 32 years old male who developed left MCA ischemic stroke with right hemiplegia on 4th admission day after attempted suicide with benzodiazepines. His MCV was raised and macroovalocytes were present on peripheral film