Atypical progressive stroke syndrome associated with oral contraceptives and cigarette use

S R Levine, J E Knake, A B Young
1987 Stroke  
We report a case of progressive multifocal intracranial distal arterial branch occlusive disease in a young adult who smoked heavily and used oral contraceptives. The distribution of the angiographic lesions and the associated telangiectasias and rete mirabile resemble Moya-Moya disease except for clearly absent proximal carotid arterial disease. This type of distal multifocal cerebral arterial occlusive pattern appears to be a very rare manifestation of cigarette and oral contraceptive use.
more » ... patient has remained without symptoms for > 3 years off oral contraceptives and cigarettes and on antiplatelet agents. (Stroke 1987;18:519-523)
doi:10.1161/01.str.18.2.519 pmid:3564112 fatcat:wt2oxclpgfhsboir26ckjobjp4