AUTHOR=Bulwa Zachary , Kim Audrey , Singh Karandeep , Kantorovich Alexander , Suhail Faten TITLE=Recurrent Embolic Strokes of Undetermined Source in a Patient with Extreme Lipoprotein(a) Levels JOURNAL=Frontiers in Neurology VOLUME=7 YEAR=2016 URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2016.00144 DOI=10.3389/fneur.2016.00144 ISSN=1664-2295 ABSTRACT=
Lipoprotein(a) is a plasma lipoprotein and known cardiovascular risk factor, most recently implicated in the development of high-risk carotid atherosclerotic plaques without significant carotid stenosis. We present a case of a young African-American female with recurrent embolic strokes of undetermined source. After our thorough investigation, we identified the link between a small, irregular plaque in the right internal carotid artery, and an extremely elevated plasma level of lipoprotein(a) as the source of her embolic strokes.