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Departments of Neurology (Drs. Roller, Stoll, Sitzer, and Freund) and Internal Medicine-Haematology (Dr. Burk), and the Institute for Blood Coagulation and Transfusion Medicine (Dr. Schottler), Heinrich-Heine-University, Düsseldorf, Germany.
Protein C and protein S deficiencies increase the risk of venous thrombosis and pulmonary embolism, but their role in arterial thrombosis or embolism is controversial. We describe cerebral ischemia in two young women in a family with inherited deficiencies of both proteins C and S and provide evidence that a combined deficiency of proteins C and S may be a high risk factor for ischemic stroke in young adults.
Address correspondence and reprint requests to Dr. H. Köller, Department of Neurology, Heinrich-Heine-University, Moorenstraße 5, D 40225 Düsseldorf, Germany.
Received July 1, 1993. Accepted in final form January 14, 1994.
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