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Case Reports: Rare disease
Haemodynamic stroke in a rare adult presentation of osteopetrosis
  1. George Abraham Ninan1,
  2. Rohit Ninan Benjamin1,
  3. Anitha Jasper2 and
  4. Sharon Anbumalar Lionel3
  1. 1Neurology, Christian Medical College Vellore, Vellore, Tamil Nadu, India
  2. 2Radiology, Christian Medical College Vellore, Vellore, Tamil Nadu, India
  3. 3Haematology, Christian Medical College Vellore, Vellore, Tamil Nadu, India
  1. Correspondence to Dr Rohit Ninan Benjamin; rohit.benjamin{at}cmcvellore.ac.in

Abstract

Osteopetrosis refers to a collection of metabolic bone diseases with impaired osteoclastic activity resulting in abnormally dense and dysplastic bone. Cranial involvement results in severe complications, including compressive nerve palsies, hydrocephalus and tonsillar herniation. Ischaemic stroke is very rarely reported in osteopetrosis, resulting from vascular impingement. We report a young adult woman with CLCN7 (Chloride Voltage-Gated Channel 7) gene-related osteopetrosis and ischaemic stroke resulting from diffuse and focal arterial stenosis and severe myelophthisic anaemia. Acute management included blood transfusions, lay-flat positioning and fever treatment, which resulted in partial recovery of her initial neurological deficits. Our case highlights this very rare stroke syndrome’s unique mechanisms and treatment challenges.

  • stroke
  • calcium and bone

http://dx.doi.org/10.1136/bcr-2022-250355

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    Footnotes

    • Contributors GAN and RNB prepared the draft for submission. AJ selected and helped prepare the image files and provided related inputs. SAL reviewed the manuscript. All authors approved the final version.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.