Noonan syndrome, metabolic syndrome and stroke-in-the-young: Coincidence, causal or contribution?
A 34-year-old Thai woman developed acute left hemiparesis with dysarthria from subcortical infarction of the right MCA territory eighteen months after being diagnosed with Noonan syndrome, diabetes mellitus, dyslipidaemia, and hypertension. Further investigations suggested atherosclerosis as a cause...
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th-mahidol.298182018-09-24T16:35:41Z Noonan syndrome, metabolic syndrome and stroke-in-the-young: Coincidence, causal or contribution? Jakris Eu-Ahsunthornwattana Objoon Trachoo Donniphat Dejsuphong Atchara Tunteeratum Kanoknan Srichan Thanyachai Sura Mahidol University Medicine A 34-year-old Thai woman developed acute left hemiparesis with dysarthria from subcortical infarction of the right MCA territory eighteen months after being diagnosed with Noonan syndrome, diabetes mellitus, dyslipidaemia, and hypertension. Further investigations suggested atherosclerosis as a cause. Modifying her risk factors was difficult, artly because of limited adherence. Three years later, she had another attack of ischaemic stroke in the same area. Unlike the three previously reported cases, the causation of strokes in this patient appeared to be a more 'complex' interaction between genetic defect and environment including possible subtle arterial abnormalities, metabolic risk factors, and mental insufficiency. 2018-09-24T09:35:41Z 2018-09-24T09:35:41Z 2010-01-01 Article Journal of the Medical Association of Thailand. Vol.93, No.9 (2010), 1084-1087 01252208 01252208 2-s2.0-77958036623 https://repository.li.mahidol.ac.th/handle/123456789/29818 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=77958036623&origin=inward |
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Medicine Jakris Eu-Ahsunthornwattana Objoon Trachoo Donniphat Dejsuphong Atchara Tunteeratum Kanoknan Srichan Thanyachai Sura Noonan syndrome, metabolic syndrome and stroke-in-the-young: Coincidence, causal or contribution? |
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A 34-year-old Thai woman developed acute left hemiparesis with dysarthria from subcortical infarction of the right MCA territory eighteen months after being diagnosed with Noonan syndrome, diabetes mellitus, dyslipidaemia, and hypertension. Further investigations suggested atherosclerosis as a cause. Modifying her risk factors was difficult, artly because of limited adherence. Three years later, she had another attack of ischaemic stroke in the same area. Unlike the three previously reported cases, the causation of strokes in this patient appeared to be a more 'complex' interaction between genetic defect and environment including possible subtle arterial abnormalities, metabolic risk factors, and mental insufficiency. |
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Mahidol University |
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Mahidol University Jakris Eu-Ahsunthornwattana Objoon Trachoo Donniphat Dejsuphong Atchara Tunteeratum Kanoknan Srichan Thanyachai Sura |
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Jakris Eu-Ahsunthornwattana Objoon Trachoo Donniphat Dejsuphong Atchara Tunteeratum Kanoknan Srichan Thanyachai Sura |
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Jakris Eu-Ahsunthornwattana |
title |
Noonan syndrome, metabolic syndrome and stroke-in-the-young: Coincidence, causal or contribution? |
title_short |
Noonan syndrome, metabolic syndrome and stroke-in-the-young: Coincidence, causal or contribution? |
title_full |
Noonan syndrome, metabolic syndrome and stroke-in-the-young: Coincidence, causal or contribution? |
title_fullStr |
Noonan syndrome, metabolic syndrome and stroke-in-the-young: Coincidence, causal or contribution? |
title_full_unstemmed |
Noonan syndrome, metabolic syndrome and stroke-in-the-young: Coincidence, causal or contribution? |
title_sort |
noonan syndrome, metabolic syndrome and stroke-in-the-young: coincidence, causal or contribution? |
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2018 |
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https://repository.li.mahidol.ac.th/handle/123456789/29818 |
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1763492107997151232 |